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Individual

JILLIAN L GRIFFIN

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
LCSW, LADC

Contact information

Practice address
300 CHURCH ST STE 204, WALLINGFORD, CT 06492-2253
(203) 314-0940
Mailing address
300 CHURCH ST STE 204, WALLINGFORD, CT 06492-2253
(203) 314-0940

Taxonomy

Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
1172
CT
101YM0800X
Mental Health Counselor
1041C0700X
Clinical Social Worker
Primary
9781
CT

Other

Enumeration date
06/22/2017
Last updated
04/21/2021
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