Bray, Jade

Bray, Jade is an sole proprietor health care provider with primary practice located at 1750 Ellington Rd Ste 3 , South Windsor CT 06074-2746. She recently has 2 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Mental Health, Behavioral Health & Social Service Providers / Clinical. Behavioral Health & Social Service Providers / Clinical is her primary health care specialty. Bray, Jade can be contacted via phone (860) 595-2377.

Contact Information

Primary practice address
1750 Ellington Rd Ste 3 South Windsor CT 06074-2746
Phone: (860) 595-2377
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Mental Health 101YM0800X
Behavioral Health & Social Service Providers / Clinical 1041C0700X

Profile Details

NPI number 1033490735
LBN Legal business name Bray, Jade
Credentials
Entity Individual
Sole proprietor 1 Yes
Enumeration date Sep 8th, 2011
Last updated Jan 4th, 2022 - about 2 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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