Individual
JAZMIN MARIE GRULLON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LPC
Contact information
Practice address
59 FLEETWOOD DR, WATERBURY, CT 06706-2802
(203) 725-4845
Mailing address
59 FLEETWOOD DR, WATERBURY, CT 06706-2802
(203) 725-4845
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
007202
CT
Other
Enumeration date
03/09/2026
Last updated
03/09/2026
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