Provider Demographics
NPI:1831466622
Name:GOSELIN, JENNIFER A (LMHC)
Entity type:Individual
Prefix:
First Name:JENNIFER
Middle Name:A
Last Name:GOSELIN
Suffix:
Gender:
Credentials:LMHC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:765 PINE MEADOW RD
Mailing Address - Street 2:
Mailing Address - City:NORTHFIELD
Mailing Address - State:MA
Mailing Address - Zip Code:01360-9637
Mailing Address - Country:US
Mailing Address - Phone:413-522-2445
Mailing Address - Fax:
Practice Address - Street 1:278 MAIN ST STE 405
Practice Address - Street 2:
Practice Address - City:GREENFIELD
Practice Address - State:MA
Practice Address - Zip Code:01301-3230
Practice Address - Country:US
Practice Address - Phone:413-325-6638
Practice Address - Fax:413-252-8595
Is Sole Proprietor?:Yes
Enumeration Date:2011-11-21
Last Update Date:2025-04-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MA9322101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health