Individual
MS. JACQUELYN MARIE TENAGLIA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LMHC
Contact information
Practice address
75 ARLINGTON ST STE 500, BOSTON, MA 02116-3986
(516) 680-3201
Mailing address
75 ARLINGTON ST STE 500, BOSTON, MA 02116-3936
(516) 680-3201
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
—
—
101YM0800X
Mental Health Counselor
—
—
101YP2500X
Professional Counselor
Primary
7716
MA
Other
Enumeration date
07/13/2010
Last updated
10/10/2022
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