Provider Demographics
NPI:1780751370
Name:GIDDENS, JEANNE MARIA (LMHC)
Entity type:Individual
Prefix:MS
First Name:JEANNE
Middle Name:MARIA
Last Name:GIDDENS
Suffix:
Gender:F
Credentials:LMHC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
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Other - Credentials:
Mailing Address - Street 1:1540 BEDFORD ST
Mailing Address - Street 2:SUITE 3
Mailing Address - City:ABINGTON
Mailing Address - State:MA
Mailing Address - Zip Code:02351-1062
Mailing Address - Country:US
Mailing Address - Phone:781-982-8530
Mailing Address - Fax:781-982-8537
Practice Address - Street 1:1540 BEDFORD ST
Practice Address - Street 2:SUITE 3
Practice Address - City:ABINGTON
Practice Address - State:MA
Practice Address - Zip Code:02351-1062
Practice Address - Country:US
Practice Address - Phone:781-982-8530
Practice Address - Fax:781-982-8537
Is Sole Proprietor?:Yes
Enumeration Date:2006-11-29
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MA5093101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health
Provider Identifiers
StateIdentifier IDID TypeIssuer
MA2118106OtherFIRST HEALTH
MALMG033OtherBCBS GROUP
MA025377OtherVMC BEHAVIORAL HEALTH
MALM0905OtherBCBS INDIVIDUAL
MA5431652OtherCCN