Individual
MRS. JESSICA ANN FORTIER-GOSS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LADCI
Contact information
Practice address
155 AIRPORT RD, FITCHBURG, MA 01420-8142
(978) 343-6300
Mailing address
531 LINDELL AVE, LEOMINSTER, MA 01453-5451
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
2327
MA
Other
Enumeration date
07/01/2015
Last updated
07/01/2015
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