Individual provider · Type 1 NPI

Jacob Waxman

Mental Health Counselor · Weymouth, MA

NPI number 1093063125 Active

Practice location

541 Main St, Suite 303
Weymouth, MA 02190-1868

Specialties and licenses

TaxonomyCodeLicense
Mental Health Counselor Primary 101YM0800XNone listed

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About NPI 1093063125

Jacob Waxman's National Provider Identifier is 1093063125, issued on Aug 21, 2012. The primary taxonomy on file is Mental Health Counselor (101YM0800X), and the practice location is in Weymouth, MA. The record was last updated on Aug 21, 2012.