Carrillo, Jazzmine Sue

Carrillo, Jazzmine Sue is an sole proprietor health care provider with primary practice located at 85 Crouch St Apt 15 , Groton CT 06340-3759. She recently has 3 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Counselor, Behavioral Health & Social Service Providers / Mental Health, Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder). Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder) is her primary health care specialty. Carrillo, Jazzmine Sue can be contacted via phone (860) 514-5695.

Contact Information

Primary practice address
85 Crouch St Apt 15 Groton CT 06340-3759
Phone: (860) 514-5695
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Counselor 101Y00000X 1539
Behavioral Health & Social Service Providers / Mental Health 101YM0800X 1539 Connecticut
Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder) 101YA0400X 1539 Connecticut

Profile Details

NPI number 1790546059
LBN Legal business name Carrillo, Jazzmine Sue
Credentials
Entity Individual
Sole proprietor 1 Yes
Enumeration date Jan 23rd, 2024
Last updated Jan 23rd, 2024 - about 2 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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