Jennifer Laura Habeeb

Individual provider Active NPI Mental Health Counselor · Bolton, MA

NPI 1669067690 · NPPES record last updated Mar 8, 2023

Key facts

NPI
1669067690
Entity type
Individual (NPI type 1)
Primary specialty
Mental Health Counselor 101YM0800X
Practice address
401 Main St
Bolton, MA 01740-1147
Phone
(978) 618-1144
NPI assigned
Mar 2, 2021
Sex
Female
Sole proprietor
No

Medicare participation

Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

Medicare enrollment (NPD)
No

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Counselor 101Y00000X
Mental Health Counselor 101YM0800X Yes

Addresses

Primary practice location

401 Main St
Bolton, MA 01740-1147

Mailing address

401 Main St
Bolton, MA 01740-1147

Other providers in Bolton, MA

All providers in Bolton, MA · Mental Health Counselor in Massachusetts

Sources for this page

Verify at the official NPI Registry.