Individual
JESSICA CLEMENT
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
40 CANOE CLUB LN, PEMBROKE, MA 02359-1888
(857) 225-9544
Mailing address
40 CANOE CLUB LN, PEMBROKE, MA 02359-1888
(857) 225-9544
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
—
—
103T00000X
Psychologist
Primary
10043
MA
172V00000X
Community Health Worker
—
—
Other
Enumeration date
06/08/2016
Last updated
03/05/2025
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