Provider Demographics
NPI:1760807747
Name:DELVECCHIO, JACQUELINE SUZANNE (MS, LMHC)
Entity Type:Individual
Prefix:MRS
First Name:JACQUELINE
Middle Name:SUZANNE
Last Name:DELVECCHIO
Suffix:
Gender:F
Credentials:MS, LMHC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:60 WASHINGTON ST STE 202
Mailing Address - Street 2:
Mailing Address - City:SALEM
Mailing Address - State:MA
Mailing Address - Zip Code:01970-3516
Mailing Address - Country:US
Mailing Address - Phone:781-771-0759
Mailing Address - Fax:978-279-1323
Practice Address - Street 1:60 WASHINGTON ST STE 202
Practice Address - Street 2:
Practice Address - City:SALEM
Practice Address - State:MA
Practice Address - Zip Code:01970-3516
Practice Address - Country:US
Practice Address - Phone:781-771-0759
Practice Address - Fax:978-279-1323
Is Sole Proprietor?:Yes
Enumeration Date:2014-02-27
Last Update Date:2022-07-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
No101Y00000XBehavioral Health & Social Service ProvidersCounselor
No101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health