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Jacob Shade
Mental Health Counselor in Lynn, Massachusetts
NPI 1295082766

Jacob Shade is a Mental Health Counselor based in Lynn, MA and is specialized in Mental Health. Jacob Shade practices in Lynn, MA. The NPI Number for Jacob Shade is 1295082766 and holds a License No. (Massachusetts).

The current practice location address for Jacob Shade is 181 Union St, Lynn, MA and can be reached out via phone at 781-244-1950.

Location: 181 Union St, Lynn, MA, 01901-1311
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1295082766
Provider Name
Jacob Shade
Credential
Provider Entity Type
Individual
Gender
Male
Address
181 Union St, Lynn, MA, 01901-1311
Phone Number
781-244-1950
Fax Number
Provider Enumeration Date
08/14/2012
Last Update Date
03/09/2024
institution
Provider Business Practice Location Address Details
Address
181 Union St
City
Lynn
State
Massachusetts
Zip
01901-1311
Phone Number
781-244-1950
Fax Number
person
Provider Business Mailing Address Details
Address
181 Union St
City
Lynn
State
Massachusetts
Zip
01901-1311
Phone Number
781-244-1950
Fax Number
person
Provider's Taxonomy Details 1
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
Mental Health
Taxonomy
101YM0800X
License No.
()
Definition
Definition to come...
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