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1154990208
JEANNETTA VIVIANE MONTISSOL
BOSTON, MA
NPI
1154990208
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
101YM0800X Counselor Mental Health
(Licence: MA 11844)
Enumeration Date
2021-06-23
Last Update Date
2021-07-08
Business Address
JEANNETTA VIVIANE MONTISSOL LMHC
360 HUNTINGTON AVE
BOSTON, MA 02115-5005
Phone number: 857-204-6773
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Mailing Address
JEANNETTA VIVIANE MONTISSOL LMHC
993 SOUTH ST
ROSLINDALE, MA 02131-2307
Phone number: 857-204-6773
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