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NPI Code Detail

MEDICARE: ALYSSA ANN JAMELE LPC-A

MEDICARE: ALYSSA ANN JAMELE LPC-A
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1101YP2500XProfessional Counselor7224CT

General Provider Information

NPI Number : 1700631942
Entity Type Code : Individual
Provider Name (Legal Business Name) : ALYSSA ANN JAMELE LPC-A
Provider Business Mailing Address
First Line : 1090 S MAIN ST
Second Line :
City : CHESHIRE
State : CT
Zip : 06410-3444
Country : US
Telephone Number : 203-715-0362
Fax Number :
Provider Business Practice Location Address
First Line : 1 HOPE ST
Second Line :
City : BRISTOL
State : CT
Zip : 06010-6374
Country : US
Telephone Number : 860-920-4177
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 04/22/2024
Last Update Date : 06/03/2025

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Directions to “ ALYSSA ANN JAMELE LPC-A” Practice Location

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