NPI 1477886174

Jill R. Cristo Ma Lmft LLC

Organisation Exclusive Provider Organization Bloomfield, CT

Practice location

Address: 23 Colonial Dr N, Bloomfield, CT 06002-2393
Phone: (860) 463-6723
Mailing address: 1100 New Britain Ave Suite Number 14, West Hartford, CT 06110-2427

Authorised official

Name: Jill R. Cristo
Title: President
Phone: (860) 463-6723

Registered specialties

Exclusive Provider Organization Primary

Managed Care Organizations Taxonomy 302F00000X Licence 000717 (CT)

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Registry record

NPI: 1477886174
Entity type: Organization
NPI issued: 12 Sep 2009
Record last updated: 12 Sep 2009

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.