Most Relevant Information
Provider Data
| NPI Number: | 1003537176 |
| Provider Name: | JESSICA L NOWACKI |
| Entity Type: | Individual |
| Taxonomy Code: | 101Y00000X |
| Specialty: | Counselor |
| License Number: |
Most Important Dates
| Enumeration Date: | 09/07/2022 |
| Last Updated: | 09/07/2022 |
Provider Practice Location
1082 DAVOL ST
FALL RIVER
MA
027201124
Practice Location Phone/Fax
| Phone: | 2833508678 |
| Fax: |
Provider Mailing Location
1082 DAVOL ST
FALL RIVER
MA
027201124
Provider Mailing Phone/Fax
| Phone: | |
| Fax: |