Individual
ERIC A JENIKE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
75 LAKESHORE DR, BELLINGHAM, MA 02019-2813
(617) 599-3052
Mailing address
75 LAKESHORE DR, BELLINGHAM, MA 02019-2813
(617) 599-3052
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
—
—
Other
Enumeration date
05/15/2020
Last updated
05/15/2020
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