Individual
JESSICA DASILVA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.S. LADCI
Contact information
Practice address
66 CANAL ST, BOSTON, MA 02114-2002
(617) 619-5913
Mailing address
167 MAIN ST, WILMINGTON, MA 01887-2021
(978) 447-2003
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
—
—
171M00000X
Case Manager/Care Coordinator
—
—
Other
Enumeration date
12/02/2011
Last updated
01/10/2025
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