Individual provider · Type 1 NPI
Jacqueline A. Shea
Addiction (Substance Use Disorder) Counselor · Needham, MA
NPI number
1659632008
Active
Practice location
687 Highland Ave, Suite 16
Needham, MA 02494-2232
Fax (866) 455-8839
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Addiction (Substance Use Disorder) Counselor Primary | 101YA0400X | 2439 (MA) |
Addiction (Substance Use Disorder) Counselor: Definition to come...
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About NPI 1659632008
Jacqueline A. Shea's National Provider Identifier is 1659632008, issued on Jun 1, 2012. The primary taxonomy on file is Addiction (Substance Use Disorder) Counselor (101YA0400X), and the practice location is in Needham, MA. The record was last updated on Jun 1, 2012.