Individual
JOSE VILLAFUERTE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
LCSW, LMSW
Contact information
Practice address
628 GEORGE ST, NEW HAVEN, CT 06511-5362
(475) 422-1819
Mailing address
628 GEORGE ST, NEW HAVEN, CT 06511-5362
(475) 422-1819
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
—
—
1041C0700X
Clinical Social Worker
Primary
8777
CT
Other
Enumeration date
06/11/2013
Last updated
11/05/2014
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