Doctor Name: | MRS. JENNIFER R. ESTES |
NPI Number: | 1114130226 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | M.A., C.R.C. |
License Number: | |
Business Practice Address: | 288 Bedford St Whitman, MA - 023821820 |
Business Phone Number: | 7814476425 |
Business Fax Number: | |
Mailing Address: | 65 Ocean Dr, P.o. Box 618 MATTAPOISETT |
State: | MA |
Postal Code: | 027392365 |
Phone Number: | 7814476425 |
Fax Number: | |
NPI Enumeration Date: | 05/07/2007 |
NPI Last Update Date: | 07/08/2007 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 101YM0800X |
License Number: | |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | |
Taxonomy Type: | Behavioral Health & Social Service Providers |
Taxonomy Classification: | Counselor |
Taxonomy Specialization: | Mental Health |
Taxonomy Definition: |