Jacquelline Eliana Stanley
NPI #1891023412 in Allston, Massachusetts
Provider Information
- NPI Number
- 1891023412
- Entity Type
- Individual
- Name
- Jacquelline Eliana Stanley
- Gender
- Not Specified
- Sole Proprietor
- Yes
- Primary Specialty
- Counselor - Mental Health
- Enumeration Date
- Nov 19, 2009
- Last Updated
- Nov 19, 2009
Practice Location
- Address
- 14 FORDHAM RD
- City
- Allston
- State
- Massachusetts
- ZIP Code
- 02134-3006
- Phone
- (617) 782-6460
Specialties & Taxonomy Codes
| Specialty |
|---|
| Counselor - Mental Health — Mental Health |
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