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Jenelis Diaz, BSW
Mental Health Counselor in Plainville, Connecticut
NPI 1780941898

Jenelis Diaz is a Mental Health Counselor based in Plainville, CT and is specialized in Mental Health. Jenelis Diaz practices in Plainville, CT and has the professional credentials of BSW. The NPI Number for Jenelis Diaz is 1780941898 and holds a License No. (Connecticut).

The current practice location address for Jenelis Diaz is 91 Northwest Dr, Plainville, CT and can be reached out via phone at 860-793-3500.

Location: 91 Northwest Dr, Plainville, CT, 06062
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1780941898
Provider Name
Jenelis Diaz
Credential
BSW
Provider Entity Type
Individual
Gender
Female
Address
91 Northwest Dr, Plainville, CT, 06062
Phone Number
860-793-3500
Fax Number
Provider Enumeration Date
04/13/2012
Last Update Date
03/09/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
060867065 05 CT
institution
Provider Business Practice Location Address Details
Address
91 Northwest Dr
City
Plainville
State
Connecticut
Zip
06062
Phone Number
860-793-3500
Fax Number
person
Provider Business Mailing Address Details
Address
91 Northwest Dr
City
Plainville
State
Connecticut
Zip
06062
Phone Number
860-793-3500
Fax Number
person
Provider's Taxonomy Details 1
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
Mental Health
Taxonomy
101YM0800X
License No.
()
Definition
Definition to come...
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