Individual provider · Type 1 NPI

Juanita Crispin

Mental Health Counselor · Bloomfield, CT

NPI number 1619159381 Active

Practice location

693 Bloomfield Ave
Bloomfield, CT 06002-2489

Call (860) 243-6584 Map

Fax (860) 243-6591

Mailing address

58 Taylor Dr
Hartford, CT 06120-1019

Specialties and licenses

TaxonomyCodeLicense
Mental Health Counselor Primary 101YM0800XNone listed

Mental Health Counselor: Definition to come...

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About NPI 1619159381

Juanita Crispin's National Provider Identifier is 1619159381, issued on Dec 4, 2007. The primary taxonomy on file is Mental Health Counselor (101YM0800X), and the practice location is in Bloomfield, CT. The record was last updated on Dec 4, 2007.