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General NPI Number Information
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NPI Number | 1881799864
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Entity Type | Organization
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Legal Business Name | JOCHELSON COUNSELING ASSOCIATES, INC.
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Dates
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Enumeration Date | 09/14/2006
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Last Update Date | 08/22/2020
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Provider Practice Location Address
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Address Line | 53 LANGLEY RD
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City | NEWTON
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State | MA
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Zip | 02459-1913
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Country | US
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Telephone | 617-527-1412
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Fax | 617-964-2718
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Provider Business Mailing Address
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Address Line | 53 LANGLEY RD
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City | NEWTON
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State | MA
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Zip | 02459-1913
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Country | US
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Telephone | 617-527-1412
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Fax | 617-964-2718
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Authorized Official
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Title or Position | CEO
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Name | MS. CARRIE JOCHELSON
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Credential | RN, CS, MSN
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Telephone | 617-527-1412
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 101YM0800X
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Taxonomy Name | Mental Health Counselor
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License Number | RN131827
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License Number State | MA
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