Individual
JESSICA CULLAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
55 MAIN ST, NORWICH, CT 06360-5760
(860) 731-5522
(860) 731-5536
Mailing address
2 WATERSIDE XING STE 401, WINDSOR, CT 06095-1588
(860) 731-5522
(860) 731-5536
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
—
—
1041C0700X
Clinical Social Worker
Primary
009253
CT
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
12/14/2012
Last updated
03/10/2023
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