| Jacklyn Powers, Llc | |
|
11c Fillmore Rd Salem MA 01970-2700 | |
| (781) 715-5522 | |
| Not Available |
| Full Name | Jacklyn Powers, Llc |
|---|---|
| Speciality | Counselor - Mental Health |
| Location | 11c Fillmore Rd, Salem, Massachusetts |
| Authorized Official Name and Position | Jacklyn Powerrs (LICENSED MENTAL HEALTH COUNSELOR) |
| Authorized Official Contact | 7814621019 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Jacklyn Powers, Llc 11c Fillmore Rd Salem MA 01970-2700 Ph: (781) 715-5522 | Jacklyn Powers, Llc 11c Fillmore Rd Salem MA 01970-2700 Ph: (781) 715-5522 |
| NPI Number | 1588392575 |
|---|---|
| Provider Enumeration Date | 08/09/2022 |
| Last Update Date | 08/09/2022 |
| Certification Date | 08/09/2022 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1588392575 | NPI | - | NPPES |
| 1689230781 | Other | MA | OPTUM |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YM0800X | Counselor - Mental Health | (* (Not Available)) | Primary |
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