Individual provider · Type 1 NPI

Jillian M. Theobald

Mental Health Counselor · New Bedford, MA

NPI number 1306374145 Active

Practice location

1061 Pleasant St
New Bedford, MA 02740-6728

Mailing address

14 Center St
Fairhaven, MA 02719-2929

Specialties and licenses

TaxonomyCodeLicense
Mental Health Counselor Primary 101YM0800XNone listed

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About NPI 1306374145

Jillian M. Theobald's National Provider Identifier is 1306374145, issued on May 24, 2017. The primary taxonomy on file is Mental Health Counselor (101YM0800X), and the practice location is in New Bedford, MA. The record was last updated on May 24, 2017.