Individual provider · Type 1 NPI

Jeanne Mary Internicola

Addiction (Substance Use Disorder) Counselor · South Boston, MA

NPI number 1306345483 Active

Practice location

210 Old Colony Ave
South Boston, MA 02127-2413

Call (617) 268-5000 Map

Mailing address

675 E 4th St
South Boston, MA 02127-3063

Specialties and licenses

TaxonomyCodeLicense
Addiction (Substance Use Disorder) Counselor Primary 101YA0400X1915 (MA)

Addiction (Substance Use Disorder) Counselor: Definition to come...

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About NPI 1306345483

Jeanne Mary Internicola's National Provider Identifier is 1306345483, issued on Feb 5, 2018. The primary taxonomy on file is Addiction (Substance Use Disorder) Counselor (101YA0400X), and the practice location is in South Boston, MA. The record was last updated on Feb 5, 2018.