Jeanne Mary Internicola
NPI #1306345483 in South Boston, Massachusetts
Provider Information
- NPI Number
- 1306345483
- Entity Type
- Individual
- Name
- Jeanne Mary Internicola
- Gender
- Not Specified
- Sole Proprietor
- No
- Primary Specialty
- Counselor - Addiction (Substance Use Disorder)
- Enumeration Date
- Feb 5, 2018
- Last Updated
- Feb 5, 2018
Practice Location
- Address
- 210 OLD COLONY AVE
- City
- South Boston
- State
- Massachusetts
- ZIP Code
- 02127-2413
- Phone
- (617) 268-5000
Specialties & Taxonomy Codes
| Specialty |
|---|
| Counselor - Addiction (Substance Use Disorder) — Addiction (Substance Use Disorder) |
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