Jake Green, MA INTERN
NPI #1851015606 in Wakefield, Massachusetts
Provider Information
- NPI Number
- 1851015606
- Entity Type
- Individual
- Name
- Jake Green, MA INTERN
- Gender
- Not Specified
- Sole Proprietor
- No
- Primary Specialty
- Counselor
- Credential
- MA INTERN
- Enumeration Date
- Sep 26, 2022
- Last Updated
- Sep 26, 2022
Practice Location
- Address
- 607 NORTH AVE BLDG 15
- City
- Wakefield
- State
- Massachusetts
- ZIP Code
- 01880-1322
- Phone
- (781) 395-0457
Specialties & Taxonomy Codes
| Specialty |
|---|
| Counselor |
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