Harden, Jacquelyn M

Harden, Jacquelyn M is an sole proprietor health care provider with primary practice located at 25 Main St , Stockbridge MA 01262-0962. She recently has 2 registered licenses in different health care specialties including Student, Health Care / Student in an Organized Health Care Education/Training Program, Behavioral Health & Social Service Providers / Clinical. Behavioral Health & Social Service Providers / Clinical is her primary health care specialty. Harden, Jacquelyn M can be contacted via phone (413) 931-5246.

Contact Information

Primary practice address
25 Main St Stockbridge MA 01262-0962
Phone: (413) 931-5246
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Student, Health Care / Student in an Organized Health Care Education/Training Program 390200000X
Behavioral Health & Social Service Providers / Clinical 103TC0700X 11307 Massachusetts

Profile Details

NPI number 1144562919
LBN Legal business name Harden, Jacquelyn M
Credentials PSYD
Entity Individual
Sole proprietor 1 Yes
Enumeration date Mar 20th, 2013
Last updated Nov 16th, 2020 - about 6 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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