Individual
MRS. JENNIFER TOUSLEY MOYNIHAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LCSW, LADC-I, CADC
Contact information
Practice address
100 CUMMINGS CTR STE 428J, BEVERLY, MA 01915-6122
(617) 584-5779
Mailing address
100 CUMMINGS CTR STE 428J, BEVERLY, MA 01915-6122
(978) 529-2740
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
20507
MA
Other
Enumeration date
05/09/2018
Last updated
09/28/2022
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