Most Relevant Information
Provider Data
| NPI Number: | 1003451212 |
| Provider Name: | ALIYA E JASENSKY |
| Entity Type: | Individual |
| Taxonomy Code: | 101Y00000X |
| Specialty: | Counselor |
| License Number: |
Most Important Dates
| Enumeration Date: | 11/12/2019 |
| Last Updated: | 11/12/2019 |
Provider Practice Location
444 CENTER ST
MANCHESTER
CT
060403926
Practice Location Phone/Fax
| Phone: | 8606463888 |
| Fax: |
Provider Mailing Location
2 WATERSIDE XING STE 401
WINDSOR
CT
060951587
Provider Mailing Phone/Fax
| Phone: | 8607315522 |
| Fax: |