Individual
JACQUELINE ANN FLETCHER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LADCI
Contact information
Practice address
216 LAKE RD, ASHBURNHAM, MA 01430-1207
(978) 827-5115
Mailing address
216 LAKE RD, ASHBURNHAM, MA 01430-1207
(978) 827-5115
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
2150
MA
Other
Enumeration date
09/13/2007
Last updated
09/13/2007
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