Organization
JECC BEHAVIORAL CENTER
Active
Organization subpart
No
Provider details
NPI number
Authorized official
VIRGINIE KAMUENE (CEO)
(978) 289-7258
Entity
Organization
Contact information
Practice address
21 ANNIS ST, NORTH ANDOVER, MA 01845-3401
(978) 289-7258
Mailing address
21 ANNIS ST, NORTH ANDOVER, MA 01845-3401
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
—
—
101YM0800X
Mental Health Counselor
—
—
106H00000X
Marriage & Family Therapist
—
—
261QM0855X
Adolescent and Children Mental Health Clinic/Center
—
—
Other
Enumeration date
12/20/2021
Last updated
12/20/2021
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