Provider Demographics
NPI:1801271937
Name:ROSSETTI, JENNIFER M (MDIV, MA)
Entity type:Individual
Prefix:MS
First Name:JENNIFER
Middle Name:M
Last Name:ROSSETTI
Suffix:
Gender:F
Credentials:MDIV, MA
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1 AMHERST RD
Mailing Address - Street 2:
Mailing Address - City:WELLESLEY
Mailing Address - State:MA
Mailing Address - Zip Code:02482-6610
Mailing Address - Country:US
Mailing Address - Phone:781-235-7749
Mailing Address - Fax:
Practice Address - Street 1:1 AMHERST RD
Practice Address - Street 2:
Practice Address - City:WELLESLEY
Practice Address - State:MA
Practice Address - Zip Code:02482-6610
Practice Address - Country:US
Practice Address - Phone:781-235-7749
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2015-07-30
Last Update Date:2015-07-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health