Mrs. Jessica Rose Burgess-Wise, LADC

Individual provider Addiction (Substance Use Disorder) Counselor · NPI 1376577528

Mrs. Jessica Rose Burgess-Wise, LADC is a Mental Health Counselor in Palmer, Massachusetts. Qualified in 2001, 25 years ago. Licensed in Massachusetts.

Years since qualifying: 25
Licensed in: MA
In the registry since: 2006

What do these letters mean?

LADC — Licensed Alcohol and Drug Counselor: A licensed addiction counsellor.

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Practice location Address checks out

40 Wright Street Wing Memorial Hospital Griswold Ctr
Palmer, MA 01069
Phone: (413) 284-5285
Fax: (413) 284-5384

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

Specialties & licences

Addiction (Substance Use Disorder) Counselor (primary)	Taxonomy 101YA0400X · Licence 674 (MA)

Record details

NPI number	1376577528
Entity type	Individual (Type 1)
Gender	Female
Credentials	LADC
Sole proprietor	No
NPI enumerated	July 11, 2006
Last updated in NPPES	July 8, 2007

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialty	MENTAL HEALTH COUNSELOR
Medical school	OTHER
Graduated	2001 (25 years in practice)
Accepts Medicare assignment	Not indicated
Practice locations	2 on file with Medicare