Individual
JIMMY GLENN DOOLITTLE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
990 MIGEON AVE, TORRINGTON, CT 06790-4555
(203) 525-1233
Mailing address
4319 W RAILROAD ST, GULFPORT, MS 39501-1407
(228) 239-4249
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
005290
CT
101YP2500X
Professional Counselor
1622
MS
Other
Enumeration date
01/30/2020
Last updated
03/07/2022
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