Provider Demographics
NPI:1528465861
Name:MORRILL, JILLIAN (LMHC)
Entity type:Individual
Prefix:
First Name:JILLIAN
Middle Name:
Last Name:MORRILL
Suffix:
Gender:F
Credentials:LMHC
Other - Prefix:
Other - First Name:JILLIAN
Other - Middle Name:
Other - Last Name:REUTER
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:720 EAST AVE STE 104
Mailing Address - Street 2:
Mailing Address - City:ROCHESTER
Mailing Address - State:NY
Mailing Address - Zip Code:14607-2192
Mailing Address - Country:US
Mailing Address - Phone:585-454-9815
Mailing Address - Fax:
Practice Address - Street 1:720 EAST AVE STE 104
Practice Address - Street 2:
Practice Address - City:ROCHESTER
Practice Address - State:NY
Practice Address - Zip Code:14607-2192
Practice Address - Country:US
Practice Address - Phone:585-454-9815
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2014-12-02
Last Update Date:2022-12-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY005009101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health