Provider Demographics
NPI:1821566399
Name:LEY, JAIME LEE (LMFT)
Entity Type:Individual
Prefix:
First Name:JAIME
Middle Name:LEE
Last Name:LEY
Suffix:
Gender:F
Credentials:LMFT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:48 CHARLOTTE DR
Mailing Address - Street 2:
Mailing Address - City:PLAINFIELD
Mailing Address - State:CT
Mailing Address - Zip Code:06374-2201
Mailing Address - Country:US
Mailing Address - Phone:860-213-0989
Mailing Address - Fax:
Practice Address - Street 1:134 CHURCH ST
Practice Address - Street 2:
Practice Address - City:WILLIMANTIC
Practice Address - State:CT
Practice Address - Zip Code:06226-2612
Practice Address - Country:US
Practice Address - Phone:860-213-0989
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2018-11-02
Last Update Date:2018-11-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CT2043106H00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes106H00000XBehavioral Health & Social Service ProvidersMarriage & Family Therapist