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Jessenia Medina
Professional Counselor in Manchester, Connecticut
NPI 1578040200

Jessenia Medina is a Professional Counselor based in Windsor, CT and is specialized in Professional. Jessenia Medina practices in Manchester, CT. The NPI Number for Jessenia Medina is 1578040200 and holds a License No. (Connecticut).

The current practice location address for Jessenia Medina is 444 Center St, Manchester, CT and can be reached out via phone at 860-646-3888 and via fax at 860-645-4132.

Location: 444 Center St, Manchester, CT, 06095-1588
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1578040200
Provider Name
Jessenia Medina
Credential
Provider Entity Type
Individual
Gender
Female
Address
444 Center St, Manchester, CT, 06095-1588
Phone Number
860-646-3888
Fax Number
860-645-4132
Provider Enumeration Date
07/25/2018
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
444 Center St
City
Manchester
State
Connecticut
Zip
06040-3926
Phone Number
860-646-3888
Fax Number
860-645-4132
person
Provider Business Mailing Address Details
Address
444 Center St
City
Manchester
State
Connecticut
Zip
06040-3926
Phone Number
860-646-3888
Fax Number
860-645-4132
person
Provider's Taxonomy Details 1
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
-
Taxonomy
101Y00000X
License No.
()
Definition
A provider who is trained and educated in the performance of behavior health services through interpersonal communications and analysis. Training and education at the specialty level usually requires a master's degree and clinical experience and supervision for licensure or certification.
person
Provider's Taxonomy Details 2
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
Professional
Taxonomy
101YP2500X
License No.
()
Definition
Definition to come...
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