person
Jonathan Acquaviva, MED
Mental Health Counselor in Lexington, Massachusetts
NPI 1902512767

Jonathan Acquaviva is a Mental Health Counselor based in Beverly, MA and is specialized in Mental Health. Jonathan Acquaviva practices in Lexington, MA and has the professional credentials of MED. The NPI Number for Jonathan Acquaviva is 1902512767 and holds a License No. (Massachusetts).

The current practice location address for Jonathan Acquaviva is 125 Hartwell Ave, Lexington, MA and can be reached out via phone at 781-861-0890.

Location: 125 Hartwell Ave, Lexington, MA, 01915-5520
person
Provider Profile Details
NPI Number
1902512767
Provider Name
Jonathan Acquaviva
Credential
MED
Provider Entity Type
Individual
Gender
Male
Address
125 Hartwell Ave, Lexington, MA, 01915-5520
Phone Number
781-861-0890
Fax Number
Provider Enumeration Date
01/25/2023
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
125 Hartwell Ave
City
State
Zip
02421-3100
Phone Number
781-861-0890
Fax Number
person
Provider Business Mailing Address Details
Address
125 Hartwell Ave
City
State
Zip
02421-3100
Phone Number
781-861-0890
Fax Number
person
Provider's Taxonomy Details 1
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
Mental Health
Taxonomy
License No.
()
Definition
Definition to come...
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