Doctor Name: | JENNIFER ELIZABETH HILLS-MACFADEN |
NPI Number: | 1306020045 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | M.A.,L.M.H.C. |
License Number: | 5157 |
Business Practice Address: | 174 High St Ipswich, MA - 019381220 |
Business Phone Number: | 9782707066 |
Business Fax Number: | |
Mailing Address: | Po Box 641, WEST NEWBURY |
State: | MA |
Postal Code: | 019852641 |
Phone Number: | 9782707066 |
Fax Number: | |
NPI Enumeration Date: | 12/17/2007 |
NPI Last Update Date: | 12/07/2010 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 101YM0800X |
License Number: | 5157 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | MA |
Taxonomy Type: | Behavioral Health & Social Service Providers |
Taxonomy Classification: | Counselor |
Taxonomy Specialization: | Mental Health |
Taxonomy Definition: |