| Jeanne Mary Internicola, | |
|
210 Old Colony Ave, South Boston, MA 02127-2413 | |
| (617) 268-5000 | |
| Not Available |
| Full Name | Jeanne Mary Internicola |
|---|---|
| Gender | Female |
| Speciality | Counselor - Addiction (substance Use Disorder) |
| Location | 210 Old Colony Ave, South Boston, Massachusetts |
| Accepts Medicare Assignments | Does not participate in Medicare Program. She may not accept medicare assignment. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1306345483 | NPI | - | NPPES |
| 043220123 | Medicaid | MA |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YA0400X | Counselor - Addiction (substance Use Disorder) | 1915 (Massachusetts) | Primary |
| Mailing Address | Practice Location Address |
|---|---|
| Jeanne Mary Internicola, 675 E 4th St, South Boston, MA 02127-3063 Ph: (617) 268-5000 | Jeanne Mary Internicola, 210 Old Colony Ave, South Boston, MA 02127-2413 Ph: (617) 268-5000 |
Mark A Schroeder, LADCII Counselor Medicare: Not Enrolled in Medicare Practice Location: 1226 Columbia Rd # A, South Boston, MA 02127 Phone: 617-534-9500 Fax: 617-534-9151 | |
Ms. Roberta Reich, L.M.H.C. Counselor Medicare: Not Enrolled in Medicare Practice Location: 58 Old Colony Ave, South Boston, MA 02127 Phone: 617-268-1700 Fax: 617-268-1991 | |
Courtney Elizabeth Hoban, Counselor Medicare: Not Enrolled in Medicare Practice Location: 1226a Columbia Rd, South Boston, MA 02127 Phone: 617-534-9500 Fax: 617-534-9515 | |
Joel B Hark, Counselor Medicare: Not Enrolled in Medicare Practice Location: 25 James Oneill St, South Boston, MA 02127 Phone: 617-534-9500 | |
Elizabeth K Doherty, MSW Counselor Medicare: Not Enrolled in Medicare Practice Location: 664 Dorchester Ave, South Boston, MA 02127 Phone: 617-524-4620 | |
Katie Ryan, Counselor Medicare: Not Enrolled in Medicare Practice Location: 8 Rev Burke Street #151, South Boston, MA 02127 Phone: 617-534-9500 | |
John Nestor, LADC 1 Counselor Medicare: Not Enrolled in Medicare Practice Location: 210 Old Colony Ave, South Boston, MA 02127 Phone: 617-268-5000 Fax: 617-268-5008 |