Individual
JACQUELINE A. SHEA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
687 HIGHLAND AVE, SUITE 16, NEEDHAM, MA 02494-2232
(800) 455-8726
(866) 455-8839
Mailing address
687 HIGHLAND AVE, SUITE 16, NEEDHAM, MA 02494-2232
(800) 455-8726
(866) 455-8839
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
2439
MA
Other
Enumeration date
06/01/2012
Last updated
06/01/2012
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