Individual provider · Type 1 NPI

Jacob Shade

Mental Health Counselor · Lynn, MA

NPI number 1295082766 Active

Practice location

181 Union St
Lynn, MA 01901-1311

Specialties and licenses

TaxonomyCodeLicense
Mental Health Counselor Primary 101YM0800XNone listed

Mental Health Counselor: Definition to come...

37 other providers at this address

Other mental health counselor providers in Lynn

See all in Lynn →

About NPI 1295082766

Jacob Shade's National Provider Identifier is 1295082766, issued on Aug 14, 2012. The primary taxonomy on file is Mental Health Counselor (101YM0800X), and the practice location is in Lynn, MA. The record was last updated on Sep 12, 2013.