person
Jackie Peterson, LICSW,LCSW
Mental Health Counselor in Boston, Massachusetts
NPI 1932685252

Jackie Peterson is a Mental Health Counselor based in Wallingford, MA and is specialized in Mental Health. Jackie Peterson practices in Boston, MA and has the professional credentials of LICSW,LCSW. The NPI Number for Jackie Peterson is 1932685252 and holds a License No. (Massachusetts).

The current practice location address for Jackie Peterson is 399 Boylston St, Boston, MA and can be reached out via phone at 617-336-3246.

Location: 399 Boylston St, Boston, MA, 06492-5003
person
Provider Profile Details
NPI Number
1932685252
Provider Name
Jackie Peterson
Credential
LICSW,LCSW
Provider Entity Type
Individual
Gender
Female
Address
399 Boylston St, Boston, MA, 06492-5003
Phone Number
617-336-3246
Fax Number
Provider Enumeration Date
07/19/2018
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
399 Boylston St
City
State
Zip
02116-3305
Phone Number
617-336-3246
Fax Number
person
Provider Business Mailing Address Details
Address
399 Boylston St
City
State
Zip
02116-3305
Phone Number
617-336-3246
Fax Number
person
Provider's Taxonomy Details 1
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
Addiction (Substance Use Disorder)
Taxonomy
License No.
()
Definition
Definition to come...
person
Provider's Taxonomy Details 2
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
Mental Health
Taxonomy
License No.
()
Definition
Definition to come...
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