Provider Demographics
NPI:1023569142
Name:FELDMAN, JENNA
Entity Type:Individual
Prefix:
First Name:JENNA
Middle Name:
Last Name:FELDMAN
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:JENNA
Other - Middle Name:
Other - Last Name:KILMAN
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:16 TREMONT ST
Mailing Address - Street 2:2
Mailing Address - City:CHELSEA
Mailing Address - State:MA
Mailing Address - Zip Code:02150-2635
Mailing Address - Country:US
Mailing Address - Phone:630-222-2709
Mailing Address - Fax:
Practice Address - Street 1:16 TREMONT ST
Practice Address - Street 2:2
Practice Address - City:CHELSEA
Practice Address - State:MA
Practice Address - Zip Code:02150-2635
Practice Address - Country:US
Practice Address - Phone:630-222-2709
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2016-10-24
Last Update Date:2022-10-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health