Jacob Shade
Jacob Shade is a Mental Health Counselor in Lynn, Massachusetts. Practices as a sole proprietor. Registered with an NPI since 2012.
- In the registry since
- 2012
Practice location Address checks out
181 Union StLynn, MA 01901-1311
Phone: (781) 244-1950
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Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Mental Health Counselor (primary) | Taxonomy 101YM0800X |
|---|
Record details
| NPI number | 1295082766 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Male |
| Sole proprietor | Yes |
| NPI enumerated | August 14, 2012 |
| Last updated in NPPES | September 12, 2013 |
| Mailing address | 181 Union St, Lynn, MA 01901-1311 |
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