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NPI Code Detail

MEDICARE: JESSICA ASHLI SOUCY

MEDICARE: JESSICA ASHLI SOUCY
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
1101YA0400XAddiction (Substance Use Disorder) Counselor

General Provider Information

NPI Number : 1710816533
Entity Type Code : Individual
Provider Name (Legal Business Name) : JESSICA ASHLI SOUCY
Provider Business Mailing Address
First Line : 190 LENOX ST
Second Line :
City : NORWOOD
State : MA
Zip : 02062-3416
Country : US
Telephone Number : 617-862-7752
Fax Number :
Provider Business Practice Location Address
First Line : 190 LENOX ST
Second Line :
City : NORWOOD
State : MA
Zip : 02062-3416
Country : US
Telephone Number : 617-862-7752
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 05/18/2026
Last Update Date : 05/18/2026

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Directions to “ JESSICA ASHLI SOUCY ” Practice Location

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