| Jsb Wellness Llc | |
|
3000 Whitney Ave Ste 125 Hamden CT 06518-2353 | |
| (203) 781-6635 | |
| Not Available |
| Full Name | Jsb Wellness Llc |
|---|---|
| Speciality | Psychologist |
| Location | 3000 Whitney Ave Ste 125, Hamden, Connecticut |
| Authorized Official Name and Position | Jomary Sepulveda-betancourt (CEO) |
| Authorized Official Contact | 2037816635 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Jsb Wellness Llc 3000 Whitney Ave Ste 125 Hamden CT 06518-2353 Ph: (203) 781-6635 | Jsb Wellness Llc 3000 Whitney Ave Ste 125 Hamden CT 06518-2353 Ph: (203) 781-6635 |
| NPI Number | 1407437056 |
|---|---|
| Provider Enumeration Date | 04/15/2021 |
| Last Update Date | 05/31/2024 |
| Certification Date | 05/31/2024 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1407437056 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YP2500X | Counselor - Professional | (* (Not Available)) | Secondary |
| 103T00000X | Psychologist | (* (Not Available)) | Primary |
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