Jessica Ann Brantl BA

NPI 1033419700 - Counselor - 101YA0400X

NPI Details
NPI 1033419700
Gender Female
Enumeration Date 10/28/2010
Last Updated 10/28/2010
Entity Type Individual
Active Over 6 years ago
Practice Location
1010 MASSACHUSETTS AVE
BOSTON MA, 02118-2600, US
Phone (617) 419-3408
Fax
Business Location
1010 MASSACHUSETTS AVE
BOSTON MA, 02118-2600, US
Phone (617) 419-3408
Fax
Toxanomy
Taxonomy Code 101YA0400X
License State
License Number
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According to our database, Ms. Jessica Ann Brantl BA NPI is 1033419700, taxonomy code is 101YA0400X Jessica Ann Brantl BA physically located at 1010 Massachusetts Ave, Boston MA, 02118-2600. NPI Number Jessica Ann Brantl BA has the Individual type.

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1033419700 NPI number is provided on an as is basis without warranty of any kind. 1033419700 is maintained by the National Plan & Provider Enumeration System. The contents of Jessica Ann Brantl BA are for informational purposes only.