Provider Demographics
NPI:1194045427
Name:BILLION, JEANNE M
Entity Type:Individual
Prefix:MS
First Name:JEANNE
Middle Name:M
Last Name:BILLION
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:674 N HOOSAC RD
Mailing Address - Street 2:
Mailing Address - City:WILLIAMSTOWN
Mailing Address - State:MA
Mailing Address - Zip Code:01267-2318
Mailing Address - Country:US
Mailing Address - Phone:413-884-3002
Mailing Address - Fax:
Practice Address - Street 1:674 N HOOSAC RD
Practice Address - Street 2:
Practice Address - City:WILLIAMSTOWN
Practice Address - State:MA
Practice Address - Zip Code:01267-2318
Practice Address - Country:US
Practice Address - Phone:413-884-3002
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2010-06-09
Last Update Date:2010-06-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NC7277174400000X
MA7967174400000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes174400000XOther Service ProvidersSpecialist