Individual
JAMIZE BARLOW-PETTIFORD
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
233 ROUTE 6, COLUMBIA, CT 06237-1125
(860) 228-4480
(860) 779-5437
Mailing address
233 ROUTE 6, PO BOX 200, COLUMBIA, CT 06237-1125
(860) 228-4480
(860) 779-5437
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
004040564
—
CT
Enumeration date
02/04/2015
Last updated
02/04/2015
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