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Individual
JANE AXELROD
Active
Individual
JANE AXELROD
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
ED.D.
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
4543
MA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
2196819
CIGNA BEHAVIORAL HEALTH
MA
01
—
346294
MHN
MA
01
—
682896
TUFTS HEALTH PLAN
MA
01
—
9371178
PRIVATE HEALTHCARE SYSTEM
MA
01
—
LM1163
BLUE CROSS BLUE SHIELD OF
MA
Enumeration date
09/04/2006
Last updated
07/08/2007
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