Individual
DESTINI JAZZMYN KOHNEN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LMHC
Contact information
Practice address
1029 PLEASANT ST STE 101, BRIDGEWATER, MA 02324-2473
(508) 697-1070
Mailing address
1029 PLEASANT ST STE 101, BRIDGEWATER, MA 02324-2473
(508) 697-1070
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
12117-MH-CC
MA
Other
Enumeration date
01/05/2021
Last updated
01/05/2021
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