Individual
CATHERINE JELLIE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LCSW
Contact information
Practice address
190 WESTBROOK RD, ESSEX, CT 06426-1518
(860) 767-0147
(860) 767-0148
Mailing address
255 HEMPSTEAD ST, NEW LONDON, CT 06320-6204
(860) 443-2896
(860) 442-5909
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
—
—
1041C0700X
Clinical Social Worker
Primary
10580
CT
1041C0700X
Clinical Social Worker
—
—
Other
Enumeration date
09/19/2016
Last updated
04/11/2019
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