Jazmyne Marie Concannon
Individual provider Active NPI Mental Health Counselor · Athol, MA
NPI 1679264188 · NPPES record last updated May 16, 2023
Key facts
- NPI
- 1679264188
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Mental Health Counselor 101YM0800X
- Practice address
- 2033 Main St
Athol, MA 01331-3535 - Phone
- (978) 249-9490
- NPI assigned
- May 16, 2023
- 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) | Code | License | State | Primary |
|---|---|---|---|---|
| Mental Health Counselor | 101YM0800X | Yes |
Addresses
Primary practice location
2033 Main St
Athol, MA 01331-3535
Mailing address
2033 Main St
Athol, MA 01331-3535
Phone (978) 249-9490
Other providers in Athol, MA
- Melissa Phyllis Clough
- Christina Cohen
- Brooke Coleman
- Community Support Options
- Steven G Como Sr.
- Elizabeth Conlon
- Charlene E Costa
- Maireni R Cruz
- Jean Cullen
- Jerome Currier
All providers in Athol, MA · Mental Health Counselor in Massachusetts
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on May 16, 2023. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.