Individual
MS. LISA JENNY JAINCHILL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CAC, LADC, MSW, CCDP
Contact information
Practice address
45 WADSWORTH STREET, HARTFORD, CT 06106
(860) 527-1124
(860) 724-2539
Mailing address
45 WADSWORTH STREET, HARTFORD, CT 06106
(860) 527-1124
(860) 724-2539
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
—
—
104100000X
Social Worker
Primary
25452
CT
Other
Enumeration date
01/09/2008
Last updated
11/17/2021
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