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NPI Code Detail

MEDICARE: JESSICA GREENEY LMHC

MEDICARE: JESSICA GREENEY LMHC
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
1101YM0800XMental Health Counselor10209MA

General Provider Information

NPI Number : 1710151352
Entity Type Code : Individual
Provider Name (Legal Business Name) : JESSICA GREENEY LMHC
Provider Business Mailing Address
First Line : 1 HOYT ST FL 7
Second Line :
City : BROOKLYN
State : NY
Zip : 11201-5809
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 800 FALMOUTH RD
Second Line :
City : MASHPEE
State : MA
Zip : 02649-3303
Country : US
Telephone Number : 774-251-9071
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 04/15/2008
Last Update Date : 08/13/2021

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