Healthcare Provider Details

I. General information

NPI: 1528970597
Provider Name (Legal Business Name): JILL VIOLET BOROWSKI
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 09/22/2026
Last Update Date: 09/22/2026
Certification Date: 09/22/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

609 W JOHNSON AVE STE 104
CHESHIRE CT
06410-4506
US

IV. Provider business mailing address

11935 6TH AVE
COLLEGE POINT NY
11356-1003
US

V. Phone/Fax

Practice location:
  • Phone: 860-386-8332
  • Fax:
Mailing address:
  • Phone: 347-705-3101
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code101YP2500X
TaxonomyProfessional Counselor
License Number009655
License Number StateCT

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: