Individual
MS. NATASHA R JEAN-GILLES
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
M.ED
Contact information
Practice address
555 AMORY ST, JAMAICA PLAIN, MA 02130-2652
(617) 383-6522
Mailing address
1311 MAIN ST, BROCKTON, MA 02301-7109
(617) 383-6522
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
23648
MA
Other
Enumeration date
01/02/2008
Last updated
09/19/2025
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