Organization
THERACONNEX LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JALESA JANAY FRYE LMHC (OWNER)
(508) 596-6022
Entity
Organization
Contact information
Practice address
138 BOYLSTON ST, BROCKTON, MA 02301-4142
(508) 596-6022
Mailing address
138 BOYLSTON ST, BROCKTON, MA 02301-4142
(508) 596-6022
Taxonomy
Speciality
Code
Description
License number
State
261QM0801X
Mental Health Clinic/Center (Including Community Mental Health Center)
Primary
—
—
Other
Enumeration date
05/06/2021
Last updated
05/06/2021
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