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MRS. JESSICA ROSE BURGESS-WISE LADC NPI 1376577528


NPI Information

NPI: 1376577528
Provider Name: MRS. JESSICA ROSE BURGESS-WISE, LADC
Classification: Counselor - 101YA0400X
Entity Type: Individual

Specialization: Addiction (Substance Use Disorder)

Address:
40 WRIGHT STREET
WING MEMORIAL HOSPITAL GRISWOLD CENTER
PALMER, MA
ZIP 01069
Phone: (413) 284-5285
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MRS. Jessica Rose Burgess-wise, LADC is an addiction (substance use disorder) counselor in Palmer, MA. MRS. Jessica Rose Burgess-wise, LADC NPI is 1376577528. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

The provider's business location address is:

40 WRIGHT STREET
WING MEMORIAL HOSPITAL GRISWOLD CENTER
PALMER, MA
ZIP 01069
Phone: (413) 284-5285
Fax: (413) 284-5384

The enumeration date for this NPI number is 7/11/2006 and was last updated on 7/8/2007.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1101YA0400XCounselorAddiction (Substance Use Disorder)674MASSACHUSETTSYes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/14/2023

All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.