| Melissa Rocklen Licsw, Llc | |
|
97 Wachusett St Unit 1 Jamaica Plain MA 02130-4399 | |
| (617) 297-7695 | |
| Not Available |
| Full Name | Melissa Rocklen Licsw, Llc |
|---|---|
| Speciality | Community/behavioral Health |
| Location | 97 Wachusett St Unit 1, Jamaica Plain, Massachusetts |
| Authorized Official Name and Position | Melissa Rocklen (OWNER) |
| Authorized Official Contact | 6172977695 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Melissa Rocklen Licsw, Llc 97 Wachusett St Apt 1 Jamaica Plain MA 02130-4399 Ph: (617) 501-6972 | Melissa Rocklen Licsw, Llc 97 Wachusett St Unit 1 Jamaica Plain MA 02130-4399 Ph: (617) 297-7695 |
| NPI Number | 1184355596 |
|---|---|
| Provider Enumeration Date | 06/17/2022 |
| Last Update Date | 09/29/2022 |
| Certification Date | 09/29/2022 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1184355596 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 251S00000X | Community/behavioral Health | (* (Not Available)) | Primary |
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