Provider Demographics
NPI:1508053901
Name:BRENNAN, JANE HOLLAND (MA)
Entity Type:Individual
Prefix:
First Name:JANE
Middle Name:HOLLAND
Last Name:BRENNAN
Suffix:
Gender:F
Credentials:MA
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:32 COMMON ST
Mailing Address - Street 2:WALPOLE COMMUNITY COUNSELING
Mailing Address - City:WALPOLE
Mailing Address - State:MA
Mailing Address - Zip Code:02081-2803
Mailing Address - Country:US
Mailing Address - Phone:508-668-3223
Mailing Address - Fax:508-668-0755
Practice Address - Street 1:32 COMMON ST
Practice Address - Street 2:WALPOLE COMMUNITY COUNSELING
Practice Address - City:WALPOLE
Practice Address - State:MA
Practice Address - Zip Code:02081-2803
Practice Address - Country:US
Practice Address - Phone:508-668-3223
Practice Address - Fax:508-668-0755
Is Sole Proprietor?:No
Enumeration Date:2007-09-29
Last Update Date:2010-06-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health