Individual provider · Type 1 NPI
Jaclyn Lannon
Mental Health Counselor · Brockton, MA
NPI number
1962953315
Active
Practice location
10 Meadowbrook Rd
Brockton, MA 02301-7122
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 1962953315
Jaclyn Lannon's National Provider Identifier is 1962953315, issued on Oct 20, 2016. The primary taxonomy on file is Mental Health Counselor (101YM0800X), and the practice location is in Brockton, MA. The record was last updated on Oct 20, 2016.