Dwelley, Jade

Dwelley, Jade is an individual health care provider with primary practice located at 10 Guest St , Boston MA 02135-2066. She recently has 3 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Clinical, Behavioral Health & Social Service Providers / School, Student, Health Care / Student in an Organized Health Care Education/Training Program. Behavioral Health & Social Service Providers / Clinical is her primary health care specialty. Dwelley, Jade can be contacted via phone (334) 663-5505.

Contact Information

Primary practice address
10 Guest St Boston MA 02135-2066
Phone: (334) 663-5505
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Clinical 1041C0700X LC50082248 District of Columbia
Behavioral Health & Social Service Providers / School 1041S0200X LC50082248 District of Columbia
Student, Health Care / Student in an Organized Health Care Education/Training Program 390200000X
Behavioral Health & Social Service Providers / Clinical 1041C0700X 121867 Massachusetts

Profile Details

NPI number 1558739177
LBN Legal business name Dwelley, Jade
Credentials
Entity Individual
Sole proprietor 1 No
Enumeration date Sep 14th, 2015
Last updated Jan 19th, 2023 - about 3 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.

Request for update

Popular Providers