| Jill D Carroll Lpc Llc | |
|
85 Lexington St New Britain CT 06052-1416 | |
| (203) 545-4426 | |
| Not Available |
| Full Name | Jill D Carroll Lpc Llc |
|---|---|
| Speciality | Counselor - Professional |
| Location | 85 Lexington St, New Britain, Connecticut |
| Authorized Official Name and Position | Jill D Carroll (OWNER) |
| Authorized Official Contact | 2035454426 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Jill D Carroll Lpc Llc 3409 Whitney Ave Apt 6 Hamden CT 06518-1958 Ph: (203) 545-4426 | Jill D Carroll Lpc Llc 85 Lexington St New Britain CT 06052-1416 Ph: (203) 545-4426 |
| NPI Number | 1447645239 |
|---|---|
| Provider Enumeration Date | 03/30/2015 |
| Last Update Date | 03/30/2015 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1447645239 | NPI | - | NPPES |
| 774747 | Medicaid | CT |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YP2500X | Counselor - Professional | 1753 (Connecticut) | Primary |
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