Individual
JESSICA TYROL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LPC
Contact information
Practice address
500 BLUE HILLS AVE FL 9, HARTFORD, CT 06112-1500
(860) 569-5900
(860) 714-8973
Mailing address
500 BLUE HILLS AVE FL 9, HARTFORD, CT 06112-1500
(860) 569-5900
(860) 714-8973
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
—
—
101YP2500X
Professional Counselor
Primary
003106
CT
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
004040564
—
CT
Enumeration date
12/02/2014
Last updated
04/05/2019
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