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Jill Michele Lack
Mental Health Counselor in Danvers, Massachusetts
NPI 1770117442

Jill Michele Lack is a Mental Health Counselor based in Danvers, MA and is specialized in Mental Health. Jill Michele Lack practices in Danvers, MA. The NPI Number for Jill Michele Lack is 1770117442 and holds a License No. 3679 (Massachusetts).

The current practice location address for Jill Michele Lack is 199 Rosewood Dr Ste 250, Danvers, MA and can be reached out via phone at 978-968-1719.

Location: 199 Rosewood Dr Ste 250, Danvers, MA, 01923-1684
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1770117442
Provider Name
Jill Michele Lack
Credential
Provider Entity Type
Individual
Gender
Female
Address
199 Rosewood Dr Ste 250, Danvers, MA, 01923-1684
Phone Number
978-968-1719
Fax Number
Provider Enumeration Date
03/02/2020
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
199 Rosewood Dr Ste 250
City
Danvers
State
Massachusetts
Zip
01923-1684
Phone Number
978-968-1719
Fax Number
person
Provider Business Mailing Address Details
Address
199 Rosewood Dr Ste 250
City
Danvers
State
Massachusetts
Zip
01923-1684
Phone Number
978-968-1719
Fax Number
person
Provider's Taxonomy Details 1
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
Mental Health
Taxonomy
101YM0800X
License No.
3679 (Massachusetts)
Definition
Definition to come...
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