Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
JAZZMINE SUE CARRILLO
Active Sole ProprietorJAZZMINE SUE CARRILLO is a Addiction (Substance Use Disorder) Counselor healthcare provider located in GROTON, Connecticut. NPI 1790546059 is currently active in the NPPES registry. Verify at CMS.
Addiction (Substance Use Disorder) Counselor · GROTON, CT
Registration Details
- NPI Number
- 1790546059
- Provider Type
- Individual
- Gender
- Female
- NPI Issued
- Jan 23, 2024 (2.6028818746059 yrs)
- Last Updated
- Jan 23, 2024
- Licenses
-
15391539 (CT)1539 (CT)
- Sole Proprietor
- Yes
Practice Information
- Address
-
85 CROUCH ST APT 15GROTON, CT, 063403759Browse CT providers · Browse ZIP 06340
- Phone
- 8605145695
- Primary Specialty
-
Addiction (Substance Use Disorder) Counselor
101YA0400X
- Additional Specialty
- Mental Health Counselor
- Additional Specialty
- Addiction (Substance Use Disorder) Counselor
Other Addiction (Substance Use Disorder) Counselor Providers in GROTON, CT
| Name | Credential | NPI |
|---|---|---|
| JANINE M PILNEY | LADC | 1760507487 |
| MRS. KATHLEEN E SKRABACZ | LADC | 1497938559 |
| THERESA MAMIE CHARLES I | — | 1255769576 |
| REBECCA A GRILLO | — | 1881352276 |
| ELIZABETH MARY CURRY | LCDP, CADC | 1215643093 |
| ISABEL Q PENTELL | LADC | 1760209746 |
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.