Willard, Jada Yvette

Willard, Jada Yvette is an individual health care provider with primary practice located at 780 American Legion Hwy , Roslindale MA 02131-3908. She recently has only one registered license in Behavioral Health & Social Service Providers / Mental Health, which is considered as her primary health care specialty. Willard, Jada Yvette can be contacted via phone (617) 254-0964.

Contact Information

Primary practice address
780 American Legion Hwy Roslindale MA 02131-3908
Fax:
Website:

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Mental Health 101YM0800X

Profile Details

NPI number 1023393972
LBN Legal business name Willard, Jada Yvette
Credentials
Entity Individual
Sole proprietor 1 No
Enumeration date Oct 11th, 2011
Last updated Mar 8th, 2012 - about 13 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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