Provider Demographics
NPI:1811877756
Name:LEVESQUE, JESSICA LEE ANN (NCSP)
Entity type:Individual
Prefix:MS
First Name:JESSICA
Middle Name:LEE ANN
Last Name:LEVESQUE
Suffix:
Gender:F
Credentials:NCSP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:121 LAUREL HILL LN
Mailing Address - Street 2:
Mailing Address - City:HOLDEN
Mailing Address - State:MA
Mailing Address - Zip Code:01520-1619
Mailing Address - Country:US
Mailing Address - Phone:603-303-3652
Mailing Address - Fax:
Practice Address - Street 1:87 MAIN ST STE 5
Practice Address - Street 2:
Practice Address - City:RUTLAND
Practice Address - State:MA
Practice Address - Zip Code:01543-1327
Practice Address - Country:US
Practice Address - Phone:508-731-9006
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2025-09-03
Last Update Date:2025-09-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MA376740101Y00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101Y00000XBehavioral Health & Social Service ProvidersCounselor