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Individual

DR. JILL WAITE

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
PH.D.

Contact information

Practice address
PO BOX 417, MOODUS, CT 06469-0417
(413) 269-5557
Mailing address
PO BOX 417, MOODUS, CT 06469-0417
(413) 269-5557

Taxonomy

Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
2370
NH
101YM0800X
Mental Health Counselor
Primary
8815
CT

Other

Enumeration date
09/06/2013
Last updated
11/16/2025
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