Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 101YS0200X | School Counselor | 2032464 | MA |
NPI | 1053346056 |
---|---|
Provider Name | Mrs. Jeanne W Bissonnette |
First Address | Rochester, MA 02770 |
Second Address | New Bedford, MA 02740 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 11/07/2006 |
Last Update Date | 08/07/2007 |