Organization Name: | JSL CONNECTIONS, LLC |
NPI Number: | 1760784250 |
Entity Type Code: | Organizational (2) |
Authorized Official Name: | JESSICA S LAROSA (CLINICAL THERAPIST) |
Mailing Address: | 16 Cornerstone Court Suite 5 Plantsville |
State: | CT US |
Postal Code: | 06479 |
Phone Number: | 8602129534 |
Fax Number: | 8606120087 |
NPI Enumeration Date: | 12/03/2010 |
NPI Last Update Date: | 12/03/2010 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 101YP2500X |
License Number: | |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | CT |
Taxonomy Type: | Behavioral Health & Social Service Providers |
Taxonomy Classification: | Counselor |
Taxonomy Specialization: | Professional |
Taxonomy Definition: |