Individual provider · Type 1 NPI
Madeline Jackson Lee
Mental Health Counselor · Watertown, MA
NPI number
1417685405
Active
Practice location
124 Watertown St Ste 3D
Watertown, MA 02472-2500
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Mental Health Counselor Primary | 101YM0800X | None listed |
Mental Health Counselor: Definition to come...
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About NPI 1417685405
Madeline Jackson Lee's National Provider Identifier is 1417685405, issued on Aug 9, 2022. The primary taxonomy on file is Mental Health Counselor (101YM0800X), and the practice location is in Watertown, MA. The record was last updated on Aug 9, 2022.