Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 101YM0800X | Mental Health Counselor | 12811-MH-CC | MA |
N | 101YS0200X | School Counselor | 531858 | MA |
N | 103K00000X | Behavior Analyst |
NPI | 1134558703 |
---|---|
Provider Name | Mr. Jamie Lefebvre |
First Address | Northampton, MA 01060-3995 |
Second Address | Northampton, MA 01060-3995 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 05/11/2013 |
Last Update Date | 23/12/2021 |