MEDICARE: JENNIFER O'NEIL 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
1	101YM0800X	Mental Health Counselor	MHC01723	RI
2	101YM0800X	Mental Health Counselor	12713	MA

General Provider Information

NPI Number	:	1821354911
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	JENNIFER O'NEIL LMHC

Provider Business Mailing Address
First Line	:	68 HARRISON AVE STE 605
Second Line	:
City	:	BOSTON
State	:	MA
Zip	:	02111-1929
Country	:	US
Telephone Number	:	508-212-9848
Fax Number	:

Provider Business Practice Location Address
First Line	:	68 HARRISON AVE STE 605
Second Line	:
City	:	BOSTON
State	:	MA
Zip	:	02111-1929
Country	:	US
Telephone Number	:	508-212-9848
Fax Number	:

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

Provider Enumeration Date	:	04/03/2012
Last Update Date	:	08/19/2024

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Directions to “ JENNIFER O'NEIL LMHC” Practice Location

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