Individual
JEANETTE ELLEN MAILS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LCAC
Contact information
Practice address
35 THORPE AVE, WALLINGFORD, CT 06492-1999
(203) 779-5799
Mailing address
35 THORPE AVE STE 104, WALLINGFORD, CT 06492-1948
(203) 779-5799
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
87001705A
IN
Other
Enumeration date
06/20/2024
Last updated
06/20/2024
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