Individual
MRS. JESSICA SUDOL MINIERI
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LPC, LMSW, LMHC
Contact information
Practice address
5 ORCHID DR, DANBURY, CT 06810-7293
(518) 534-4119
Mailing address
5 ORCHID DR, DANBURY, CT 06810-7293
(518) 534-4119
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
002961
NY
101YP2500X
Professional Counselor
3944
CT
1041C0700X
Clinical Social Worker
6977
CT
225C00000X
Rehabilitation Counselor
—
—
Other
Enumeration date
05/20/2019
Last updated
08/08/2023
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