person
Jamie Carol Wine, LMHC
Mental Health Counselor in Brockton, Massachusetts
NPI 1861766115

Jamie Carol Wine is a Mental Health Counselor based in Brockton, MA and is specialized in Mental Health. Jamie Carol Wine practices in Brockton, MA and has the professional credentials of LMHC. The NPI Number for Jamie Carol Wine is 1861766115 and holds a License No. 4930 (Massachusetts).

The current practice location address for Jamie Carol Wine is 231 Main St, Brockton, MA and can be reached out via phone at 508-586-2660 and via fax at 508-427-1505.

Location: 231 Main St, Brockton, MA, 02301-4342
person
Provider Profile Details
NPI Number
1861766115
Provider Name
Jamie Carol Wine
Credential
LMHC
Provider Entity Type
Individual
Gender
Female
Address
231 Main St, Brockton, MA, 02301-4342
Phone Number
508-586-2660
Fax Number
508-427-1505
Provider Enumeration Date
03/05/2012
Last Update Date
03/09/2024
institution
Provider Business Practice Location Address Details
Address
231 Main St
City
State
Zip
02301-4342
Phone Number
508-586-2660
Fax Number
508-427-1505
person
Provider Business Mailing Address Details
Address
231 Main St
City
State
Zip
02301-4342
Phone Number
508-586-2660
Fax Number
508-427-1505
person
Provider's Taxonomy Details 1
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
Mental Health
Taxonomy
License No.
4930 (Massachusetts)
Definition
Definition to come...
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