Individual
JAIASHRIE DONNA LENTINI
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LADC
Contact information
Practice address
340 BROAD ST STE 204, WINDSOR, CT 06095-3030
(860) 378-5614
Mailing address
340 BROAD ST STE 204, WINDSOR, CT 06095-3030
(860) 378-5614
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
001342
CT
Other
Enumeration date
06/20/2021
Last updated
06/20/2021
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