Jazzmine Sue Carrillo
NPI #1790546059 in Groton, Connecticut
Provider Information
- NPI Number
- 1790546059
- Entity Type
- Individual
- Name
- Jazzmine Sue Carrillo
- Gender
- Not Specified
- Sole Proprietor
- Yes
- Primary Specialty
- Counselor - Addiction (Substance Use Disorder)
- Enumeration Date
- Jan 23, 2024
- Last Updated
- Jan 23, 2024
Practice Location
- Address
- 85 CROUCH ST APT 15
- City
- Groton
- State
- Connecticut
- ZIP Code
- 06340-3759
- Phone
- (860) 514-5695
Specialties & Taxonomy Codes
| Specialty |
|---|
| Counselor |
| Counselor - Mental Health — Mental Health |
| Counselor - Addiction (Substance Use Disorder) — Addiction (Substance Use Disorder) |
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