Provider Demographics
NPI:1245530658
Name:REEDY, JESSICA (MA, LMHC)
Entity type:Individual
Prefix:
First Name:JESSICA
Middle Name:
Last Name:REEDY
Suffix:
Gender:F
Credentials:MA, LMHC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:61 CENTER ST
Mailing Address - Street 2:SUITE 220
Mailing Address - City:BURLINGTON
Mailing Address - State:MA
Mailing Address - Zip Code:01803-3033
Mailing Address - Country:US
Mailing Address - Phone:781-270-1964
Mailing Address - Fax:781-270-1945
Practice Address - Street 1:61 CENTER ST
Practice Address - Street 2:SUITE 220
Practice Address - City:BURLINGTON
Practice Address - State:MA
Practice Address - Zip Code:01803-3033
Practice Address - Country:US
Practice Address - Phone:781-270-1964
Practice Address - Fax:781-270-1945
Is Sole Proprietor?:Yes
Enumeration Date:2010-11-01
Last Update Date:2016-02-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MA8557101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health