Tyrol, Jessica

Tyrol, Jessica is an individual health care provider with primary practice located at 500 Blue Hills Ave Fl 9 , Hartford CT 06112-1500. She 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 her primary health care specialty. Tyrol, Jessica can be contacted via phone (860) 569-5900.

Contact Information

Primary practice address
500 Blue Hills Ave Fl 9 Hartford CT 06112-1500
Phone: (860) 569-5900
Fax: (860) 714-8973
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Mental Health 101YM0800X
Behavioral Health & Social Service Providers / Professional 101YP2500X 003106 Connecticut

Profile Details

NPI number 1962809277
LBN Legal business name Tyrol, Jessica
Credentials Licensed Professional Counselor (LPC)
Entity Individual
Sole proprietor 1 No
Enumeration date Dec 2nd, 2014
Last updated Apr 5th, 2019 - about 7 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.

Request for update

Identifiers

StateTypeNumberIssuer
All States NPI 1962809277 NPPES
Connecticut MEDICAID 004040564

Popular Providers