Fontanella, Jill Elizabeth
Fontanella, Jill Elizabeth is an sole proprietor health care provider with primary practice located at 79 Mill St , Middletown CT 06457-4468. She recently has only one registered license in Behavioral Health & Social Service Providers / Clinical, which is considered as her primary health care specialty. Fontanella, Jill Elizabeth can be contacted via phone (203) 213-9078.Contact Information
Primary practice address
79 Mill St
Middletown CT 06457-4468
Phone: (203) 213-9078
Fax: (860) 349-0324
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Behavioral Health & Social Service Providers / Clinical | 1041C0700X | 004382 | Connecticut |
Profile Details
| NPI number | 1366507972 |
|---|---|
| LBN Legal business name | Fontanella, Jill Elizabeth |
| Credentials | LCSW, LADC |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Dec 26th, 2006 |
| Last updated | Mar 22nd, 2012 - about 12 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
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