Provider Demographics
NPI:1396552618
Name:PECORA, JAVIER ALBERTO (MA)
Entity type:Individual
Prefix:
First Name:JAVIER
Middle Name:ALBERTO
Last Name:PECORA
Suffix:
Gender:M
Credentials:MA
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:21 SOUTHWICK ST UNIT 1
Mailing Address - Street 2:
Mailing Address - City:SALEM
Mailing Address - State:MA
Mailing Address - Zip Code:01970-2514
Mailing Address - Country:US
Mailing Address - Phone:857-335-0738
Mailing Address - Fax:
Practice Address - Street 1:21 SOUTHWICK ST UNIT 1
Practice Address - Street 2:
Practice Address - City:SALEM
Practice Address - State:MA
Practice Address - Zip Code:01970-2514
Practice Address - Country:US
Practice Address - Phone:857-335-0738
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2024-12-11
Last Update Date:2024-12-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health