Individual
MISS JENNA LEE BELLUCCI
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LPCA
Contact information
Practice address
21 MONTAUK AVE, NEW LONDON, CT 06320-4906
(860) 439-6440
(860) 390-1460
Mailing address
21 MONTAUK AVE, NEW LONDON, CT 06320-4906
(860) 439-6440
(860) 390-1460
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
5130
CT
Other
Enumeration date
11/08/2021
Last updated
11/08/2021
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