Individual
JOSE ANGEL AVILA JR.
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
LCSW
Contact information
Practice address
674 PROSPECT AVE STE 203, HARTFORD, CT 06105-4288
(860) 785-0590
Mailing address
674 PROSPECT AVE STE 203, HARTFORD, CT 06105-4288
(860) 785-0590
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
011257
CT
Other
Enumeration date
03/17/2018
Last updated
01/10/2026
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