Individual provider · Type 1 NPI
Jackie Black Piller, MA, LMHC
Mental Health Counselor · Wrentham, MA
NPI number
1689103863
Active
Practice location
29 Franklin St Unit 3
Wrentham, MA 02093-1210
Fax (617) 644-0163
Mailing address
105 Meetinghouse Rd
Norfolk, MA 02056-1795
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Mental Health Counselor Primary | 101YM0800X | 11989 (MA) |
Mental Health Counselor: Definition to come...
Another provider at this address
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About NPI 1689103863
Jackie Black Piller, MA, LMHC's National Provider Identifier is 1689103863, issued on Jun 9, 2017. The primary taxonomy on file is Mental Health Counselor (101YM0800X), and the practice location is in Wrentham, MA. The record was last updated on Jan 13, 2022.