Doctor Name: | JENNIFER MCCRAY |
NPI Number: | 1770859233 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | CADC |
License Number: | 1325AD |
Business Practice Address: | 2 Blackstone Park North Quincy, MA - 021710004 |
Business Phone Number: | 6175325558 |
Business Fax Number: | 6175325560 |
Mailing Address: | Po Box 240, NORTH QUINCY |
State: | MA |
Postal Code: | 021710004 |
Phone Number: | 6175325558 |
Fax Number: | 6175325560 |
NPI Enumeration Date: | 03/29/2012 |
NPI Last Update Date: | 03/29/2012 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 101YA0400X |
License Number: | 1325AD |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | MA |
Taxonomy Type: | Behavioral Health & Social Service Providers |
Taxonomy Classification: | Counselor |
Taxonomy Specialization: | Addiction (Substance Use Disorder) |
Taxonomy Definition: |