Provider Demographics
NPI:1346420452
Name:GUILMETTE, JAIME BLISS (LCSW)
Entity Type:Individual
Prefix:MRS
First Name:JAIME
Middle Name:BLISS
Last Name:GUILMETTE
Suffix:
Gender:F
Credentials:LCSW
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
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Other - Credentials:
Mailing Address - Street 1:80 SHUNPIKE RD
Mailing Address - Street 2:UNIT 207
Mailing Address - City:CROMWELL
Mailing Address - State:CT
Mailing Address - Zip Code:06416-4402
Mailing Address - Country:US
Mailing Address - Phone:860-798-4963
Mailing Address - Fax:860-852-5904
Practice Address - Street 1:80 SHUNPIKE RD
Practice Address - Street 2:UNIT 207
Practice Address - City:CROMWELL
Practice Address - State:CT
Practice Address - Zip Code:06416-4402
Practice Address - Country:US
Practice Address - Phone:860-798-4963
Practice Address - Fax:860-852-5904
Is Sole Proprietor?:No
Enumeration Date:2007-11-06
Last Update Date:2016-09-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CT0065821041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical