Leilanie Jimenez

NPI #1174186571 in Putnam, Connecticut

Provider Information

NPI Number: 1174186571
Entity Type: Individual
Name: Leilanie Jimenez
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Counselor - Professional
Enumeration Date: Apr 22, 2019
Last Updated: Sep 26, 2024

Practice Location

Address: 391 POMFRET ST
City: Putnam
State: Connecticut
ZIP Code: 06260-1852
Phone: (860) 963-4971

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Counselor - Professional — Professional	101YP2500X	Primary
Counselor	101Y00000X

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