| Doctor Name: | MRS. JILL V. TESEI |
| NPI Number: | 1306043062 |
| Entity Type Code: | Individual (1) |
| Gender: | F |
| Credentials: | A.P.R.N. |
| License Number: | 002891 |
| Business Practice Address: | 399 East Putnam Ave. 2nd Floor Suite 1 Cos Cob, CT - 06807 |
| Business Phone Number: | 2039066016 |
| Business Fax Number: | |
| Mailing Address: | 399 East Putnam Ave., 2nd Floor Suite 1 COS COB |
| State: | CT |
| Postal Code: | 06807 |
| Phone Number: | 2039066016 |
| Fax Number: | 2034542447 |
| NPI Enumeration Date: | 06/27/2007 |
| NPI Last Update Date: | 11/18/2010 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 101YM0800X |
| License Number: | 002891 |
| Healthcare Provider Taxonomy: (Secondary) | N |
| State: | CT |
| Taxonomy Type: | Behavioral Health & Social Service Providers |
| Taxonomy Classification: | Counselor |
| Taxonomy Specialization: | Mental Health |
| Taxonomy Definition: | |