Evergrow Counseling LLC
NPI #1487129284 in Manchester, Connecticut
Provider Information
- NPI Number
- 1487129284
- Entity Type
- Organization
- Organization Name
- Evergrow Counseling LLC
- Primary Specialty
- Counselor - Mental Health
- Enumeration Date
- Oct 8, 2018
- Last Updated
- Sep 30, 2019
Practice Location
- Address
- 843 MAIN ST STE 2
- City
- Manchester
- State
- Connecticut
- ZIP Code
- 06040-6041
- Phone
- (203) 927-6409
Authorized Official
- Name
- MS. JALEESA M HERNANDEZ, LPC, NCC
- Title
- BEHAVIORAL HEALTH CLINICIAN
- Phone
- (203) 927-6409
Specialties & Taxonomy Codes
| Specialty |
|---|
| Counselor - Mental Health — Mental Health |
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