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JESSICA CULLAN

Mental Health >> Counselor >> Behavioral Health & Social Service Providers

Registrant NPI Number: 1225374531

Individual Registrant:
 JESSICA  CULLAN 
Gender: F
Not Sole Proprietor

Location and contact information for practice:
7B LEDGEBROOK DR  MANSFIELD CENTER, CT 06250-1664 US
Tel: 860-456-0038  Fax: 860-456-8765

Contact information for business:
995 DAY HILL RD  WINDSOR, CT 06095-1722 US
Tel: 860-731-5522  Fax: 860-731-5536

Registration Information:
NPI: 1225374531
Entity Type: Individual

Specialty information:

PrimaryCodeCategory/DescriptionStateLicense Number
N101YM0800XBehavioral Health & Social Service Providers
Counselor
Mental Health
N390200000XStudent
Organized Health Care Education/Training Program
Y1041C0700XBehavioral Health & Social Service Providers
Social Worker
CT009253

Legacy codes, insurance codes and state license numbers:

IssuerNumberStateType




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