Mrs. Jessica R Burgess-Wise, LADC
Counselor, Addiction (Substance Use Disorder) in Palmer, Massachusetts
1376577528- Practice location
- 40 Wright Street, Wing Memorial Hospital Griswold Center, Palmer, MA 01069
- Phone
- 413-284-5285
- Fax
- 413-284-5384
- Last updated
- July 8, 2007
Jessica Rose Burgess-Wise is a Counselor, Addiction (Substance Use Disorder) based in Palmer, MA. Jessica Rose Burgess-Wise practices in Palmer, MA and has the professional credentials of LADC. The NPI Number for Jessica Rose Burgess-Wise is 1376577528 and holds a License No. 674 (MA). The current practice location address for Jessica Rose Burgess-Wise is 40 Wright Street, Wing Memorial Hospital Griswold Center, Palmer, MA 01069 and can be reached out via phone at 413-284-5285 and via fax at 413-284-5384.
Provider Profile Details
- NPI Number
- 1376577528
- Provider Name
- Jessica Rose Burgess-Wise
- Credential
- LADC
- Provider Entity Type
- Individual
- Gender
- Female
- Address
- 40 Wright Street, Wing Memorial Hospital Griswold Center, Palmer, MA 01069
- Phone Number
- 413-284-5285
- Fax Number
- 413-284-5384
- Primary Taxonomy
- Counselor, Addiction (Substance Use Disorder) · 101YA0400X
- Sole Proprietor
- No
- Other Names
- -- Jessica Rose Burgess, LADC (Former Name)
- Provider Enumeration Date
- July 11, 2006
- Last Update Date
- July 8, 2007
- NPI Status
- Active
Provider Business Practice Location Address Details
- Address
- 40 Wright Street
Wing Memorial Hospital Griswold Center
Palmer, MA 01069 - City
- Palmer
- State
- Massachusetts
- Zip
- 01069
- Phone Number
- 413-284-5285
- Fax Number
- 413-284-5384
Provider Business Mailing Address Details
- Address
- 40 Wright Street
Palmer, MA 01069 - City
- Palmer
- State
- MA
- Zip
- 01069
- Phone Number
- 413-283-7651
- Fax Number
- 413-284-5117
License Information
- License Number
- 674
- License State
- MA
- Taxonomy
- Counselor, Addiction (Substance Use Disorder) · 101YA0400X · Primary
Legacy Identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| No legacy identifiers (Medicaid, Medicare or plan IDs) are on file for this provider. | |||
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Frequently Asked Questions
What is the NPI number of Mrs. Jessica R Burgess-Wise, LADC?
The NPI number of Mrs. Jessica R Burgess-Wise, LADC is 1376577528. It was assigned on July 11, 2006 and is currently active in the NPPES registry.
What is the specialty of Mrs. Jessica R Burgess-Wise, LADC?
Mrs. Jessica R Burgess-Wise, LADC is registered under the primary taxonomy Counselor, Addiction (Substance Use Disorder) (code 101YA0400X), licensed in MA under license number 674.
Where does Mrs. Jessica R Burgess-Wise, LADC practice?
The practice location is 40 Wright Street, Wing Memorial Hospital Griswold Center, Palmer, MA 01069. The office can be reached at 413-284-5285 (phone) or 413-284-5384 (fax).
What is an NPI number?
A National Provider Identifier (NPI) is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). It is used in HIPAA standard transactions.
How do I verify this NPI record?
This record is sourced from the public NPPES NPI Registry maintained by CMS. You can confirm it by searching NPI 1376577528 directly on the NPPES registry website.