Individual
MS. ANDRELE JEAN-CHARLES
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
AAMFT
Contact information
Practice address
366 SOMERVILLE AVE, SOMERVILLE, MA 02143-2919
(617) 628-8815
(617) 625-2351
Mailing address
366 SOMERVILLE AVE, SOMERVILLE, MA 02143-2919
(617) 628-8815
(617) 625-2351
Taxonomy
Speciality
Code
Description
License number
State
106H00000X
Marriage & Family Therapist
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1303414
—
MA
Enumeration date
11/14/2008
Last updated
10/02/2009
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