Provider Demographics
NPI:1508987256
Name:AYRES, JANE E (LMHC)
Entity Type:Individual
Prefix:
First Name:JANE
Middle Name:E
Last Name:AYRES
Suffix:
Gender:F
Credentials:LMHC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:7 INDIAN DR
Mailing Address - Street 2:
Mailing Address - City:CHELMSFORD
Mailing Address - State:MA
Mailing Address - Zip Code:01824-2218
Mailing Address - Country:US
Mailing Address - Phone:978-256-7603
Mailing Address - Fax:978-256-7603
Practice Address - Street 1:229 BILLERICA RD
Practice Address - Street 2:
Practice Address - City:CHELMSFORD
Practice Address - State:MA
Practice Address - Zip Code:01824-3603
Practice Address - Country:US
Practice Address - Phone:978-256-7603
Practice Address - Fax:978-256-7603
Is Sole Proprietor?:Yes
Enumeration Date:2007-04-02
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MA76101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health
Provider Identifiers
StateIdentifier IDID TypeIssuer
MALM0237OtherBCBSMA