Organization
JILL D CARROLL LPC LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JILL D CARROLL LPC (OWNER)
(203) 545-4426
Entity
Organization
Contact information
Practice address
85 LEXINGTON ST, NEW BRITAIN, CT 06052-1416
(203) 545-4426
Mailing address
3409 WHITNEY AVE APT 6, HAMDEN, CT 06518-1958
(203) 545-4426
(860) 224-7200
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
1753
CT
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
774747
—
CT
Enumeration date
03/30/2015
Last updated
03/30/2015
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