| Kayla Jose, Llc | |
|
408 Highland Ave Ste A6 Cheshire CT 06410-2525 | |
| (203) 525-4955 | |
| Not Available |
| Full Name | Kayla Jose, Llc |
|---|---|
| Speciality | Social Worker - Clinical |
| Location | 408 Highland Ave Ste A6, Cheshire, Connecticut |
| Authorized Official Name and Position | Kayla L Jose (LICENSED CLINICAL SOCIAL WORKER) |
| Authorized Official Contact | 2035254955 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Kayla Jose, Llc 253 Berlin Ave Southington CT 06489-3277 Ph: (203) 525-4955 | Kayla Jose, Llc 408 Highland Ave Ste A6 Cheshire CT 06410-2525 Ph: (203) 525-4955 |
| NPI Number | 1184131492 |
|---|---|
| Provider Enumeration Date | 01/08/2018 |
| Last Update Date | 01/08/2018 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1184131492 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1041C0700X | Social Worker - Clinical | 10048 (Connecticut) | Primary |
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