Individual provider · Type 1 NPI

Jazmin Marie Grullon, LPC

Counselor · Waterbury, CT

NPI number 1457207755 Active

Practice location

59 Fleetwood Dr
Waterbury, CT 06706-2802

Call (203) 725-4845 Map

Specialties and licenses

TaxonomyCodeLicense
Counselor Primary 101Y00000X007202 (CT)

Counselor: A provider who is trained and educated in the performance of behavior health services through interpersonal communications and analysis. Training and education at the specialty level usually requires a master's degree and clinical experience and supervision for licensure or certification.

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About NPI 1457207755

Jazmin Marie Grullon, LPC's National Provider Identifier is 1457207755, issued on Mar 9, 2026. The primary taxonomy on file is Counselor (101Y00000X), and the practice location is in Waterbury, CT. The record was last updated on Mar 9, 2026.