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Contact Information

JONATHAN BLAISDELL, M.A.
40 ACCORD PARK DR STE A110
NORWELL, MA02061-1613
 Phone: 781-435-7941
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Mental Health

101YM0800X
 

Addiction (Substance Use Disorder)

101YA0400X
 

Counselor

101Y00000X
 

Professional

101YP2500X
Indicates primary specialty

NPI Profile & details for JONATHAN BLAISDELL · (Male)

NPI # 1609292192
Status Active
Credentials M.A.
Entity Individual
Enumeration date 03/09/2014
Last updated 09/07/2022 - About 4 years ago
Sole proprietor 1 No
Identifiers
  • MA License # 10709
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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