Stephanie Racine
Counselor, Mental Health in Stoneham, MA. Individual provider (NPI-1).
NPI number1407201460
StatusActive
Last updated in NPPESJun 27, 2023
Details
- NPI
- 1407201460
- Entity type
- Individual (NPI-1)
- Name
- Stephanie Racine
- Sex
- Female
- Sole proprietor
- No
- Enumeration date
- Apr 27, 2016
- Certification date
- Jun 27, 2023
- Last updated
- Jun 27, 2023
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 101YM0800X | Counselor, Mental Health | 11005 | MA | Yes |
Other names
- Stephanie McCluskey (Former Name)
Practice location
88 Montvale AveStoneham, MA 02180-3643
Phone 781-662-6400
Mailing address
88 Montvale AveStoneham, MA 02180-3643
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