Individual
JILLIAN HUBERTY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
501 LOMBARD ST, NEW HAVEN, CT 06513-2910
(203) 787-2207
Mailing address
501 LOMBARD ST, NEW HAVEN, CT 06513-2910
(203) 787-2207
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
—
—
1041C0700X
Clinical Social Worker
Primary
—
—
Other
Enumeration date
11/21/2011
Last updated
11/21/2011
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