Killian, James A
Killian, James A is an individual health care provider with primary practice located at 1 Bradley Rd Ste 106 , Woodbridge CT 06525. He recently has 2 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Mental Health, Behavioral Health & Social Service Providers / Professional. Behavioral Health & Social Service Providers / Professional is his primary health care specialty. Killian, James A can be contacted via phone (203) 405-8066.Contact Information
Primary practice address
1 Bradley Rd Ste 106
Woodbridge CT 06525
Phone: (203) 405-8066
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Behavioral Health & Social Service Providers / Mental Health | 101YM0800X | LAC-14147 | Arizona |
| Behavioral Health & Social Service Providers / Professional | 101YP2500X | LPC-15688 | Arizona |
| Behavioral Health & Social Service Providers / Professional | 101YP2500X | 3295 | Connecticut |
Profile Details
| NPI number | 1538506324 |
|---|---|
| LBN Legal business name | Killian, James A |
| Credentials | Licensed Professional Counselor (LPC) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jun 3rd, 2013 |
| Last updated | Nov 9th, 2019 - about 6 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1538506324 | NPPES |
| Arizona | MEDICAID | 034617 |
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