Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Jeanne Mary Internicola

Individual provider Addiction (Substance Use Disorder) Counselor · NPI 1306345483

Jeanne Mary Internicola is an Addiction (Substance Use Disorder) Counselor in South Boston, Massachusetts. Licensed in Massachusetts. Registered with an NPI since 2018.

Licensed in
MA
In the registry since
2018

Practice location Address checks out

210 Old Colony Ave
South Boston, MA 02127-2413
Phone: (617) 268-5000
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Addiction (Substance Use Disorder) Counselor (primary) Taxonomy 101YA0400X · Licence 1915 (MA)

Record details

NPI number1306345483
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorNo
NPI enumeratedFebruary 5, 2018
Last updated in NPPESFebruary 5, 2018

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