Provider Demographics
NPI:1760784250
Name:JSL CONNECTIONS, LLC
Entity Type:Organization
Organization Name:JSL CONNECTIONS, LLC
Other - Org Name:JESSICA S. LAROSA, LPC
Other - Org Type:Other Name
Authorized Official - Title/Position:CLINICAL THERAPIST
Authorized Official - Prefix:MRS
Authorized Official - First Name:JESSICA
Authorized Official - Middle Name:S
Authorized Official - Last Name:LAROSA
Authorized Official - Suffix:
Authorized Official - Credentials:LPC
Authorized Official - Phone:860-212-9534
Mailing Address - Street 1:16 CORNERSTONE COURT
Mailing Address - Street 2:SUITE 5
Mailing Address - City:PLANTSVILLE
Mailing Address - State:CT
Mailing Address - Zip Code:06479
Mailing Address - Country:US
Mailing Address - Phone:860-212-9534
Mailing Address - Fax:860-612-0087
Practice Address - Street 1:16 CORNERSTONE COURT
Practice Address - Street 2:SUITE 5
Practice Address - City:PLANTSVILLE
Practice Address - State:CT
Practice Address - Zip Code:06479
Practice Address - Country:US
Practice Address - Phone:860-212-9534
Practice Address - Fax:860-612-0087
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2010-12-03
Last Update Date:2010-12-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CT101YP2500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessionalGroup - Single Specialty