Provider Demographics
NPI:1447479209
Name:CHARTIER, JESSICA E (LMHC)
Entity type:Individual
Prefix:
First Name:JESSICA
Middle Name:E
Last Name:CHARTIER
Suffix:
Gender:F
Credentials:LMHC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1500 N MAIN ST STE 2
Mailing Address - Street 2:
Mailing Address - City:PALMER
Mailing Address - State:MA
Mailing Address - Zip Code:01069-1263
Mailing Address - Country:US
Mailing Address - Phone:413-366-1537
Mailing Address - Fax:
Practice Address - Street 1:1500 N MAIN ST STE 2
Practice Address - Street 2:
Practice Address - City:PALMER
Practice Address - State:MA
Practice Address - Zip Code:01069-1263
Practice Address - Country:US
Practice Address - Phone:413-366-1537
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2007-04-24
Last Update Date:2024-12-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MA9647101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health