| Jecc Behavioral Center | |
|
21 Annis St North Andover MA 01845-3401 | |
| (978) 289-7258 | |
| Not Available |
| Full Name | Jecc Behavioral Center |
|---|---|
| Speciality | Counselor |
| Location | 21 Annis St, North Andover, Massachusetts |
| Authorized Official Name and Position | Virginie Kamuene (CEO) |
| Authorized Official Contact | 9782897258 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Jecc Behavioral Center 21 Annis St North Andover MA 01845-3401 Ph: () - | Jecc Behavioral Center 21 Annis St North Andover MA 01845-3401 Ph: (978) 289-7258 |
| NPI Number | 1215697131 |
|---|---|
| Provider Enumeration Date | 12/20/2021 |
| Last Update Date | 12/20/2021 |
| Certification Date | 12/20/2021 |
| Medicare PECOS PAC ID | 7315302296 |
|---|---|
| Medicare Enrollment ID | O20230427002577 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1215697131 | NPI | - | NPPES |
| Provider Name | Jeannette Jimenez |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1932680394 PECOS PAC ID: 7315302122 Enrollment ID: I20230501001938 |
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