Jessica Lee Mow
Counselor in Boston, MA. Individual provider (NPI-1).
NPI number1962024554
StatusActive
Last updated in NPPESMay 18, 2020
Details
- NPI
- 1962024554
- Entity type
- Individual (NPI-1)
- Name
- Jessica Lee Mow
- Sex
- Female
- Sole proprietor
- No
- Enumeration date
- May 18, 2020
- Certification date
- May 18, 2020
- Last updated
- May 18, 2020
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 101Y00000X | Counselor | – | – | Yes |
Practice location
75 Fenwood Rd Fl 5Boston, MA 02115-6103
Phone 617-754-1223
Mailing address
75 Fenwood Rd Fl 5Boston, MA 02115-6103
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