Blaisdell, Jonathan
Blaisdell, Jonathan is an individual health care provider with primary practice located at 40 Accord Park Dr Ste A110 , Norwell MA 02061-1613. He recently has 4 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Counselor, Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder), Behavioral Health & Social Service Providers / Professional, Behavioral Health & Social Service Providers / Mental Health. Behavioral Health & Social Service Providers / Mental Health is his primary health care specialty. Blaisdell, Jonathan can be contacted via phone (781) 435-7941.Contact Information
Primary practice address
40 Accord Park Dr Ste A110
Norwell MA 02061-1613
Phone: (781) 435-7941
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Behavioral Health & Social Service Providers / Counselor | 101Y00000X | 10709 | Massachusetts |
| Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder) | 101YA0400X | 10709 | Massachusetts |
| Behavioral Health & Social Service Providers / Professional | 101YP2500X | 10709 | Massachusetts |
| Behavioral Health & Social Service Providers / Mental Health | 101YM0800X | 10709 | Massachusetts |
Profile Details
| NPI number | 1609292192 |
|---|---|
| LBN Legal business name | Blaisdell, Jonathan |
| Credentials | Master of Arts (MA) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Mar 9th, 2014 |
| Last updated | Sep 7th, 2022 - about 4 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
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