Individual
JILL JOHNSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MC
Contact information
Practice address
880 BURBANK AVE, SUFFIELD, CT 06078-1459
(480) 273-3844
Mailing address
5 MEETING HOUSE LN, ENFIELD, CT 06082-4955
(480) 273-3844
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
—
—
Other
Enumeration date
09/20/2018
Last updated
05/24/2024
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