Individual
JAIME MORALES
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
LPC
Contact information
Practice address
1 DOGWOOD DR, PORTLAND, CT 06480-1503
(203) 246-0221
Mailing address
1 DOGWOOD DR, PORTLAND, CT 06480-1503
(203) 246-0221
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
1286
CT
101YP2500X
Professional Counselor
Primary
8693
CT
Other
Enumeration date
06/03/2018
Last updated
04/30/2026
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