Jake Green, MAINTERN
Jake Green, MAINTERN is a Counselor in Wakefield, Massachusetts. Registered with an NPI since 2022.
- In the registry since
- 2022
Practice location Address checks out
607 N Ave Bldg 15Wakefield, MA 01880-1322
Phone: (781) 395-0457
Fax: (781) 395-0198
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Specialties & licences
| Counselor (primary) | Taxonomy 101Y00000X |
|---|
Record details
| NPI number | 1851015606 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Male |
| Credentials | MAINTERN |
| Sole proprietor | No |
| NPI enumerated | September 26, 2022 |
| Last updated in NPPES | September 26, 2022 |
| Certification date | September 26, 2022 |
| Mailing address | 150 Franklin Ave Apt 3, Chelsea, MA 02150-2020 |
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