MEDICARE: JALEN ECHEVARRIA

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	101Y00000X	Counselor	S94089706	MA

General Provider Information

NPI Number	:	1700711561
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	JALEN ECHEVARRIA

Provider Business Mailing Address
First Line	:	17 1/2 PALEOLOGOS ST APT 2
Second Line	:
City	:	PEABODY
State	:	MA
Zip	:	01960-4452
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	58 BLOSSOM ST
Second Line	:
City	:	LYNN
State	:	MA
Zip	:	01902-4508
Country	:	US
Telephone Number	:	339-883-1414
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	06/15/2026
Last Update Date	:	06/15/2026

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Directions to “ JALEN ECHEVARRIA ” Practice Location

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