Individual provider · Type 1 NPI

Jackie Grace Kamuanga, MA

Mental Health Counselor · Worcester, MA

NPI number 1235858028 Active

Practice location

135 Gold Star Blvd
Worcester, MA 01606-2738

Specialties and licenses

TaxonomyCodeLicense
Mental Health Counselor Primary 101YM0800XNone listed

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About NPI 1235858028

Jackie Grace Kamuanga, MA's National Provider Identifier is 1235858028, issued on Aug 24, 2022. The primary taxonomy on file is Mental Health Counselor (101YM0800X), and the practice location is in Worcester, MA. The record was last updated on Aug 24, 2022.