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JACQUELYN BENITES

Mental Health >> Counselor >> Behavioral Health & Social Service Providers

Registrant NPI Number: 1740846518

Individual Registrant:
 JACQUELYN  BENITES 
Gender: F
Not Sole Proprietor

Location and contact information for practice:
357 EAST ST  PLAINVILLE, CT 06062-3260 US
Tel: 860-793-9048  Fax: --

Contact information for business:
357 EAST ST  PLAINVILLE, CT 06062 US
Tel: --  Fax: --

Registration Information:
NPI: 1740846518
Entity Type: Individual

Specialty information:

PrimaryCodeCategory/DescriptionStateLicense Number
Y101YM0800XBehavioral Health & Social Service Providers
Counselor
Mental Health

Legacy codes, insurance codes and state license numbers:

IssuerNumberStateType
BLUE CROSS BLUE SHIELDXGC0575M20743CT01




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