Individual
YASHIRA PERDOMO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
384 PRATT ST, MERIDEN, CT 06450-8627
(203) 235-5767
Mailing address
80 MELROSE AVE, WATERBURY, CT 06705-2721
(203) 788-4556
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
—
—
Other
Enumeration date
12/28/2020
Last updated
12/28/2020
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