Individual
JENNIFER M MCLEAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LADC I
Contact information
Practice address
28 ELLERY RD, WALTHAM, MA 02453-6616
(617) 388-4387
Mailing address
28 ELLERY RD, WALTHAM, MA 02453-6616
(617) 388-4387
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
23083
MA
101YM0800X
Mental Health Counselor
LMHC5000792
MA
Other
Enumeration date
01/25/2024
Last updated
08/01/2024
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