Individual
MS. JESSICA M LACEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
23 BRADSTON ST, BOSTON, MA 02118-2703
(617) 318-6480
(617) 427-1263
Mailing address
23 BRADSTON ST, BOSTON, MA 02118-2703
(617) 318-6480
(617) 427-1263
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
—
MA
Other
Enumeration date
08/03/2018
Last updated
08/03/2018
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