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Mr. Jake Forrest Visco, BA
Counselor in Nantucket, Massachusetts
NPI 1972990984

Jake Forrest Visco is a Counselor based in Nantucket, MA. Jake Forrest Visco practices in Nantucket, MA and has the professional credentials of BA. The NPI Number for Jake Forrest Visco is 1972990984 and holds a License No. (Massachusetts).

The current practice location address for Jake Forrest Visco is 20 Vesper Ln, Nantucket, MA and can be reached out via phone at 508-228-2689 and via fax at 508-228-3613.

Location: 20 Vesper Ln, Nantucket, MA, 02554-4394
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1972990984
Provider Name
Jake Forrest Visco
Credential
BA
Provider Entity Type
Individual
Gender
Male
Address
20 Vesper Ln, Nantucket, MA, 02554-4394
Phone Number
508-228-2689
Fax Number
508-228-3613
Provider Enumeration Date
04/17/2015
Last Update Date
03/09/2024
institution
Provider Business Practice Location Address Details
Address
20 Vesper Ln
City
Nantucket
State
Massachusetts
Zip
02554-4394
Phone Number
508-228-2689
Fax Number
508-228-3613
person
Provider Business Mailing Address Details
Address
20 Vesper Ln
City
Nantucket
State
Massachusetts
Zip
02554-4394
Phone Number
508-228-2689
Fax Number
508-228-3613
person
Provider's Taxonomy Details 1
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
-
Taxonomy
101Y00000X
License No.
()
Definition
A provider who is trained and educated in the performance of behavior health services through interpersonal communications and analysis. Training and education at the specialty level usually requires a master's degree and clinical experience and supervision for licensure or certification.
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