Provider Demographics
NPI:1154554624
Name:FOLEY, JILL KAREN (MA, LMHC)
Entity type:Individual
Prefix:MRS
First Name:JILL
Middle Name:KAREN
Last Name:FOLEY
Suffix:
Gender:F
Credentials:MA, LMHC
Other - Prefix:
Other - First Name:JILL
Other - Middle Name:KAREN
Other - Last Name:HAYES
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:MA, LMHC
Mailing Address - Street 1:PO BOX 850504
Mailing Address - Street 2:
Mailing Address - City:BRAINTREE
Mailing Address - State:MA
Mailing Address - Zip Code:02185-0504
Mailing Address - Country:US
Mailing Address - Phone:617-733-3568
Mailing Address - Fax:
Practice Address - Street 1:14 TRAINOR DR
Practice Address - Street 2:
Practice Address - City:BRAINTREE
Practice Address - State:MA
Practice Address - Zip Code:02184-7622
Practice Address - Country:US
Practice Address - Phone:617-733-3568
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2009-08-31
Last Update Date:2023-09-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MA6613101YM0800X
101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health