Provider Demographics
NPI:1891089595
Name:NAVARRO, JENNIFER MARIE (ATR-BC, LMHC)
Entity Type:Individual
Prefix:MS
First Name:JENNIFER
Middle Name:MARIE
Last Name:NAVARRO
Suffix:
Gender:F
Credentials:ATR-BC, LMHC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:26 LOCKELAND AVE
Mailing Address - Street 2:#2
Mailing Address - City:ARLINGTON
Mailing Address - State:MA
Mailing Address - Zip Code:02476-6342
Mailing Address - Country:US
Mailing Address - Phone:617-633-1378
Mailing Address - Fax:
Practice Address - Street 1:26 LOCKELAND AVE
Practice Address - Street 2:#2
Practice Address - City:ARLINGTON
Practice Address - State:MA
Practice Address - Zip Code:02476-6342
Practice Address - Country:US
Practice Address - Phone:617-633-1378
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2011-05-31
Last Update Date:2011-05-31
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MA4747101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health