Individual
MR. JARED J CALISE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MA
Contact information
Practice address
74 BROCK ST, BRIGHTON, MA 02135-2509
(617) 833-0185
Mailing address
74 BROCK ST, BRIGHTON, MA 02135-2509
(617) 833-0185
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
—
—
103K00000X
Behavior Analyst
Primary
—
—
322D00000X
Emotionally Disturbed Childrens' Residential Treatment Facility
—
—
Other
Enumeration date
05/12/2009
Last updated
05/12/2009
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