Individual provider · Type 1 NPI

Jackie Peterson, LICSW, LCSW

Mental Health Counselor · Boston, MA

NPI number 1932685252 Active

Practice location

399 Boylston St
Boston, MA 02116-3305

Call (617) 336-3246 Map

Mailing address

43 Harrison Ave
Wallingford, CT 06492-5003

Other practice locations

  • 585 Lincoln St, Worcester, MA 01605-1906 · (508) 831-0045

Specialties and licenses

TaxonomyCodeLicense
Addiction (Substance Use Disorder) Counselor 101YA0400XNone listed
Mental Health Counselor Primary 101YM0800XNone listed

Mental Health Counselor: Definition to come...

4 other providers at this address

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About NPI 1932685252

Jackie Peterson, LICSW, LCSW's National Provider Identifier is 1932685252, issued on Jul 19, 2018. The primary taxonomy on file is Mental Health Counselor (101YM0800X), and the practice location is in Boston, MA. The record was last updated on Oct 27, 2022.