Doctor Name: | MISS REBECCA ANNE JESZ |
NPI Number: | 1447542667 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | LMHC |
License Number: | 8447 |
Business Practice Address: | 35 Main St Suite D Sturbridge, MA - 015661245 |
Business Phone Number: | 7742304006 |
Business Fax Number: | |
Mailing Address: | 35 Main St, Suite D STURBRIDGE |
State: | MA |
Postal Code: | 015661245 |
Phone Number: | 7742304006 |
Fax Number: | |
NPI Enumeration Date: | 05/05/2011 |
NPI Last Update Date: | 12/22/2014 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 101YM0800X |
License Number: | 8447 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | MA |
Taxonomy Type: | Behavioral Health & Social Service Providers |
Taxonomy Classification: | Counselor |
Taxonomy Specialization: | Mental Health |
Taxonomy Definition: |