Individual
MRS. JILL V. TESEI
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
A.P.R.N.
Contact information
Practice address
399 EAST PUTNAM AVE., 2ND FLOOR SUITE 1, COS COB, CT 06807
(203) 906-6016
Mailing address
399 EAST PUTNAM AVE., 2ND FLOOR SUITE 1, COS COB, CT 06807
(203) 906-6016
(203) 454-2447
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
002891
CT
363L00000X
Nurse Practitioner
CTAPRN002891
CT
364SP0807X
Child & Adolescent Psychiatric/Mental Health Clinical Nurse Specialist
Primary
002891
CT
Other
Enumeration date
06/27/2007
Last updated
11/18/2010
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