Organization
JILL R. CRISTO MA LMFT LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. JILL R. CRISTO MA LMFT LLC (PRESIDENT)
(860) 463-6723
Entity
Organization
Contact information
Practice address
23 COLONIAL DR N, BLOOMFIELD, CT 06002-2393
(860) 463-6723
Mailing address
1100 NEW BRITAIN AVE, SUITE NUMBER 14, WEST HARTFORD, CT 06110-2427
(860) 463-6723
(860) 233-4996
Taxonomy
Speciality
Code
Description
License number
State
302F00000X
Exclusive Provider Organization
Primary
000717
CT
Other
Enumeration date
09/12/2009
Last updated
09/12/2009
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