MEDICARE: JILLIAN MORRILL LMHC

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	101YM0800X	Mental Health Counselor	005009	NY

General Provider Information

NPI Number	:	1528465861
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	JILLIAN MORRILL LMHC

Provider Business Mailing Address
First Line	:	720 EAST AVE STE 104
Second Line	:
City	:	ROCHESTER
State	:	NY
Zip	:	14607-2192
Country	:	US
Telephone Number	:	585-454-9815
Fax Number	:

Provider Business Practice Location Address
First Line	:	720 EAST AVE STE 104
Second Line	:
City	:	ROCHESTER
State	:	NY
Zip	:	14607-2192
Country	:	US
Telephone Number	:	585-454-9815
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	12/02/2014
Last Update Date	:	12/30/2022

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