# MS. JILLIAN ANTOINETTE THERYON

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- **Entity:** Individual
- **Status:** Active
- **Sole proprietor:** No

## Provider details

- **NPI number:** 1982192480
- **Gender:** F
- **Credential:** LICSW, LCSW

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 1041C0700X | Clinical Social Worker | 010192 | CT | Yes |
| 1041C0700X | Clinical Social Worker | 0904012312 | VA | — |
| 1041C0700X | Clinical Social Worker | 149.024437 | IL | — |
| 1041C0700X | Clinical Social Worker | CSW.09927663 | CO | — |
| 1041C0700X | Clinical Social Worker | CW022658 | PA | — |
| 1041C0700X | Clinical Social Worker | LC50082256 | DC | — |

## Other

- **Enumeration date:** 04/30/2018
- **Last updated:** 12/12/2022