| Jacquie Wilson Associates, Llc | |
|
7 Cabot Pl Ste 10 Stoughton MA 02072-4631 | |
| (505) 740-4316 | |
| (508) 276-0190 |
| Full Name | Jacquie Wilson Associates, Llc |
|---|---|
| Speciality | Counselor |
| Location | 7 Cabot Pl Ste 10, Stoughton, Massachusetts |
| Authorized Official Name and Position | Jacquie Wilson (PSYCHOTHERAPIST) |
| Authorized Official Contact | 5087404316 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Jacquie Wilson Associates, Llc 7 Cabot Pl Ste 10 Stoughton MA 02072-4631 Ph: (505) 740-4316 | Jacquie Wilson Associates, Llc 7 Cabot Pl Ste 10 Stoughton MA 02072-4631 Ph: (505) 740-4316 |
| NPI Number | 1356945315 |
|---|---|
| Provider Enumeration Date | 11/30/2020 |
| Last Update Date | 12/01/2020 |
| Certification Date | 12/01/2020 |
| Medicare PECOS PAC ID | 5294179586 |
|---|---|
| Medicare Enrollment ID | O20240214002704 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1356945315 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YM0800X | Counselor - Mental Health | (* (Not Available)) | Primary |
| Provider Name | Jacqueline Wilson |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1942373212 PECOS PAC ID: 6103260492 Enrollment ID: I20240214002831 |
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