Selene Aguayo Gisholt, M.A., L.M.H.C.
Counselor, Mental Health in Lexington, MA. Individual provider (NPI-1).
NPI number1124497656
StatusActive
Last updated in NPPESSep 15, 2015
Details
- NPI
- 1124497656
- Entity type
- Individual (NPI-1)
- Name
- Mrs. Selene Aguayo Gisholt
- Credential
- M.A., L.M.H.C.
- Sex
- Female
- Sole proprietor
- No
- Enumeration date
- Sep 15, 2015
- Last updated
- Sep 15, 2015
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 101YM0800X | Counselor, Mental Health | 5166 | MA | Yes |
Practice location
187 Spring StLexington, MA 02421-8030
Phone 781-861-7081 · Fax 781-861-3625
Mailing address
187 Spring StLexington, MA 02421-8030
Phone 781-861-7081 · Fax 781-861-3625
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