Individual provider · Type 1 NPI

Jessica I. Agenor

Mental Health Counselor · Peabody, MA

NPI number 1093460370 Active

Practice location

1R Newbury St Ste 401
Peabody, MA 01960-3816

Call (671) 804-2773 Map

Mailing address

73 Porter St Apt 3
Malden, MA 02148-2872

Specialties and licenses

TaxonomyCodeLicense
Mental Health Counselor Primary 101YM0800XNone listed

Mental Health Counselor: Definition to come...

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About NPI 1093460370

Jessica I. Agenor's National Provider Identifier is 1093460370, issued on Feb 15, 2022. The primary taxonomy on file is Mental Health Counselor (101YM0800X), and the practice location is in Peabody, MA. The record was last updated on Feb 15, 2022.