Organization
AEON NONPROFIT TRAINING ASSOCIATES, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JENNIFER NAKHAI-ASHTIANI LICSW (OWNER/FOUNDER/CEO)
(617) 982-3996
Entity
Organization
Contact information
Practice address
152 LYNNWAY STE 2C, LYNN, MA 01902-3420
(617) 982-3996
Mailing address
610 HUMPHREY ST # 1, SWAMPSCOTT, MA 01907-2655
(617) 982-3996
Taxonomy
Speciality
Code
Description
License number
State
261QM0850X
Adult Mental Health Clinic/Center
Primary
119679
MA
261QM0855X
Adolescent and Children Mental Health Clinic/Center
119679
MA
Other
Enumeration date
05/02/2018
Last updated
11/19/2019
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