| Jg Therapy Llc | |
|
79 North St Lexington MA 02420-1811 | |
| (781) 862-9482 | |
| Not Available |
| Full Name | Jg Therapy Llc |
|---|---|
| Speciality | Social Worker - Clinical |
| Location | 79 North St, Lexington, Massachusetts |
| Authorized Official Name and Position | Joan Goldmann (MEMBER) |
| Authorized Official Contact | 7818629482 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Jg Therapy Llc 79 North St Lexington MA 02420-1811 Ph: (781) 862-9482 | Jg Therapy Llc 79 North St Lexington MA 02420-1811 Ph: (781) 862-9482 |
| NPI Number | 1497003792 |
|---|---|
| Provider Enumeration Date | 08/17/2012 |
| Last Update Date | 08/17/2012 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1497003792 | NPI | - | NPPES |
| 1629117056 | Other | MA | BLUE CROSS BLUE SHIELD INDIVIDUAL NPI GIVEN TO SOLE PROVIDER IN JG THERAPY LLC |
| P01571 | Other | MA | LEGACY # FOR INDIVIDUAL PROVIDER IN JG THERAPY LLC |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1041C0700X | Social Worker - Clinical | 101397 (Massachusetts) | Primary |
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