Individual
JAMES A KILLIAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
LPC
Contact information
Practice address
1 BRADLEY RD STE 106, WOODBRIDGE, CT 06525
(203) 405-8066
Mailing address
1 BRADLEY RD STE 106, WOODBRIDGE, CT 06525-2235
(203) 405-8066
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
LAC-14147
AZ
101YP2500X
Professional Counselor
Primary
3295
CT
101YP2500X
Professional Counselor
LPC-15688
AZ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
034617
—
AZ
Enumeration date
06/03/2013
Last updated
11/09/2019
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