Individual provider · Type 1 NPI
Jeanette Ellen Mails, LCAC
Addiction (Substance Use Disorder) Counselor · Wallingford, CT
NPI number
1144064643
Active
Practice location
35 Thorpe Ave
Wallingford, CT 06492-1999
Mailing address
35 Thorpe Ave Ste 104
Wallingford, CT 06492-1948
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Addiction (Substance Use Disorder) Counselor Primary | 101YA0400X | 87001705A (IN) |
Addiction (Substance Use Disorder) Counselor: Definition to come...
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About NPI 1144064643
Jeanette Ellen Mails, LCAC's National Provider Identifier is 1144064643, issued on Jun 20, 2024. The primary taxonomy on file is Addiction (Substance Use Disorder) Counselor (101YA0400X), and the practice location is in Wallingford, CT. The record was last updated on Jun 20, 2024.