Organization
JOSE AVILA LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. JOSE ANGEL AVILA JR. LCSW (LCSW/CEO)
(860) 785-0590
Entity
Organization
Contact information
Practice address
100 PEARL ST FL 14, HARTFORD, CT 06103-4500
(860) 785-0590
Mailing address
122 ARNOLD ST, HARTFORD, CT 06106-3507
(860) 785-0590
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
—
—
Other
Enumeration date
12/22/2020
Last updated
05/05/2025
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