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Jacklyn Powers, Llc
Mental Health Counselor in Salem, Massachusetts
NPI 1588392575

Jacklyn Powers, Llc is a Mental Health Counselor based in Salem, MA and is specialized in Mental Health. Jacklyn Powers, Llc practices in Salem, MA. The NPI Number for Jacklyn Powers, Llc is 1588392575 and holds a License No. (Massachusetts).

The current practice location address for Jacklyn Powers, Llc is 11C Fillmore Rd, Salem, MA and can be reached out via phone at 781-715-5522.

Location: 11C Fillmore Rd, Salem, MA, 01970-2700
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
institution
Provider Profile Details
NPI Number
1588392575
Provider Name
Jacklyn Powers, Llc
Credential
Provider Entity Type
Organization
Address
11C Fillmore Rd, Salem, MA, 01970-2700
Phone Number
781-715-5522
Fax Number
Provider Enumeration Date
08/09/2022
Last Update Date
03/13/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
1689230781 01 MA OPTUM
institution
Provider Business Practice Location Address Details
Address
11C Fillmore Rd
City
Salem
State
Massachusetts
Zip
01970-2700
Phone Number
781-715-5522
Fax Number
person
Provider Business Mailing Address Details
Address
11C Fillmore Rd
City
Salem
State
Massachusetts
Zip
01970-2700
Phone Number
781-715-5522
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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