Jeanne Mary Internicola
Addiction (Substance Use Disorder) Counselor
210 Old Colony Ave, South Boston
Massachusetts, 02127-2413
617-268-5000 Maps & DirectionsJeanne Mary Internicola is a South Boston, Massachusetts based counselor who is specialized as Addiction (Substance Use Disorder) Counselor. Active license number of Jeanne Mary Internicola is 1915 for Addiction (Substance Use Disorder) Counselor in Massachusetts. Her current practice location is 210 Old Colony Ave, South Boston. Patients can book an appointment with her at 617-268-5000.
Jeanne Mary Internicola is a licensed mental health therapist who help individuals struggling with addiction of alcohol, drug, or other substance use disorder. She helps her clients by manage and overcome the psychological, emotional, and behavioral challenges related to substance use. Counselors also work closely with families and support systems to help them better understand their loved one’s illness. SUD counselors help to promote long-term sobriety, emotional stability, and overall mental wellness for both the individual and their family.
Complete Profile:
Jeanne Mary Internicola speciality, credentials, practice address, contact phone number and fax are as below.
Patients can directly walk in or can call on the below given phone number for appointment.
| Name: | Jeanne Mary Internicola |
| Specialization: | Addiction (Substance Use Disorder) Counselor |
| Gender: | Female |
| Accepts Medicare Assignment: | No |
| Practice Address: | 210 Old Colony Ave, South Boston,
Massachusetts, 02127-2413 |
| Phone: | 617-268-5000 |
Professional Identification Codes:
NPI number stands for National Provider Identifier which is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS).
NPI details are as mentioned below.
| NPI Number: | 1306345483 |
| NPI Enumeration Date: | 05 Feb, 2018 |
| NPI Last Update On: | 05 Feb, 2018 |
Medical Licenses:
Doctors can have one or more medical licenses for different specialities in the same state or different states. Related medical licenses for Jeanne Mary Internicola are as mentioned below.
| License Number | Specialization | State | Status | |
| 1915 | Addiction (Substance Use Disorder) Counselor | Massachusetts | Primary | |
Other Medical Identifiers:
Other legacy medical identifiers associated with Jeanne Mary Internicola such as Medicaid, Medicare PIN, NSC, UPIN etc. are mentioned as below.
| Identifier | Type | State | Issuer |
| 043220123 | Medicaid | Massachusetts | |
Business Mailing Address:
Business mailing address can be used for mailing purpose only, for visiting purpose patients need to refer above mentioned address.
| Address: | 675 E 4th St,
South Boston, Massachusetts |
| Zip: | 02127-3063 |
| Phone Number: | 617-268-5000 |
Patients can reach Jeanne Mary Internicola at
210 Old Colony Ave, South Boston, Massachusetts or can
call to book an appointment on 617-268-5000.
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Data of this site is collected from Medicare & Medicaid Services (CMS) and NPPES. Last updated on 13 October, 2025.