Individual
MR. JIM P MOUTINHO
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MS LPC LADC NCC
Contact information
Practice address
270 FARMINGTON AVE STE 328, FARMINGTON, CT 06032-1909
(866) 887-6864
(866) 887-6864
Mailing address
PO BOX 270642, WEST HARTFORD, CT 06127-0642
(866) 887-6864
(866) 887-6864
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
797
CT
101YP2500X
Professional Counselor
2231
CT
Other
Enumeration date
01/26/2007
Last updated
05/18/2023
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