Jill E Roediger
Addiction Counselor (Substance Use Disorder)
110 Main St
Norwich
, Connecticut 06360-5738
Jill E Roediger
Addiction Counselor (Substance Use Disorder)
110 Main St
Norwich
, Connecticut 06360-5738
(860) 443-4284
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About
Features
Specialties
- Addiction Counselor (Substance Use Disorder)
Languages spoken
- English
Location
First Address
- Jill E Roediger
- 165 State St Suite 200
- New London, CT
- Zip : 06320-6397
- Fax : (860) 443-4284
- Phone : (860) 443-0036
Second Address
- Jill E Roediger
- 110 Main St
- Norwich, CT
- Zip : 06360-5738
- Fax : (860) 892-9009
- Phone : (860) 892-9002
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| Y | 101YA0400X | Addiction Counselor (Substance Use Disorder) | 000166 | CT |
National Provider Identifier
| NPI | 1003868274 |
|---|---|
| Provider Name | Jill E Roediger |
| First Address | New London, CT 06320-6397 |
| Second Address | Norwich, CT 06360-5738 |
| Gender | F |
| NPI Entity type | Individual |
| Is Sole Proprietor | No |
| Is Organization Subpart | N/A |
| Enumeration Date | 16/05/2006 |
| Last Update Date | 08/07/2007 |
NPI Footnotes
What is the National Provider Identifier (NPI)
Provider Location Address
Provider Mailing Address
Entity Type Code
1= Person: individual human being who furnishes health care;
2= Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)
What is a Subpart?
Provider Other Organization Name
1 = former name;
2 = professional name;
3 = doinq business as (d/b/ a) name;
4 = former legal business name;
5 = other.