Doctor Name: | MS. JILL V. HAGA |
NPI Number: | 1023167319 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | MSW, LPC |
License Number: | |
Business Practice Address: | 287 Bilton Rd Somers, CT - 060711044 |
Business Phone Number: | 8607638663 |
Business Fax Number: | |
Mailing Address: | 81 Rockledge Dr, SOUTH WINDSOR |
State: | CT |
Postal Code: | 060741550 |
Phone Number: | 8606445215 |
Fax Number: | |
NPI Enumeration Date: | 01/09/2007 |
NPI Last Update Date: | 10/19/2008 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 1041C0700X |
License Number: | |
Healthcare Provider Taxonomy: (Secondary) | N |
State: | |
Taxonomy Type: | Behavioral Health & Social Service Providers |
Taxonomy Classification: | Social Worker |
Taxonomy Specialization: | Clinical |
Taxonomy Definition: | A social worker who holds a master |