Individual provider · Type 1 NPI

Jake Forrest Visco, BA

Counselor · Nantucket, MA

NPI number 1972990984 Active

Practice location

20 Vesper Ln
Nantucket, MA 02554-4394

Call (508) 228-2689 Map

Fax (508) 228-3613

Specialties and licenses

TaxonomyCodeLicense
Counselor Primary 101Y00000XNone listed

Counselor: A provider who is trained and educated in the performance of behavior health services through interpersonal communications and analysis. Training and education at the specialty level usually requires a master's degree and clinical experience and supervision for licensure or certification.

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About NPI 1972990984

Jake Forrest Visco, BA's National Provider Identifier is 1972990984, issued on Apr 17, 2015. The primary taxonomy on file is Counselor (101Y00000X), and the practice location is in Nantucket, MA. The record was last updated on Apr 17, 2015.