Jonathan Perez
Counselor in Manchester, CT. Individual provider (NPI-1).
NPI number1164074845
StatusActive
Last updated in NPPESJul 12, 2019
Details
- NPI
- 1164074845
- Entity type
- Individual (NPI-1)
- Name
- Jonathan Perez
- Sex
- Male
- Sole proprietor
- No
- Enumeration date
- Jul 12, 2019
- Last updated
- Jul 12, 2019
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 101Y00000X | Counselor | – | – | Yes |
Practice location
444 Center StManchester, CT 06040-3926
Phone 860-646-3888 · Fax 850-645-4132
Mailing address
2 Waterside Xing Ste 401Windsor, CT 06095-1587
Phone 860-697-3351 · Fax 860-731-5536
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