Individual
JASON FELICIANO
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
60 MINTHORNE ST, WORCESTER, MA 01603-2106
(413) 272-8427
Mailing address
324 CLARK ST, WORCESTER, MA 01606-1214
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
—
—
Other
Enumeration date
01/24/2025
Last updated
01/24/2025
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