Individual provider · Type 1 NPI

Jessica Regina Grant

Addiction (Substance Use Disorder) Counselor · Boston, MA

NPI number 1447651906 Active

Practice location

66 Canal St.
Boston, MA 02114

Call (617) 371-3040 Map

Fax (617) 371-3038

Mailing address

1171 Boylston St., Apt # 3
Boston, MA 02215

Specialties and licenses

TaxonomyCodeLicense
Addiction (Substance Use Disorder) Counselor Primary 101YA0400XNone listed

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

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About NPI 1447651906

Jessica Regina Grant's National Provider Identifier is 1447651906, issued on Sep 15, 2014. The primary taxonomy on file is Addiction (Substance Use Disorder) Counselor (101YA0400X), and the practice location is in Boston, MA. The record was last updated on Sep 15, 2014.