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Modern Wellness Counseling PC

Counselor, Mental Health in Hanover, MA. Organization (NPI-2).

NPI number1619657640
StatusActive
Last updated in NPPESMay 7, 2024

Details

NPI
1619657640
Entity type
Organization (NPI-2)
Legal business name
Modern Wellness Counseling PC
Organization subpart
No
Enumeration date
Jul 24, 2023
Certification date
May 7, 2024
Last updated
May 7, 2024

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
101YM0800X Counselor, Mental Health––Yes

Practice location

1112 Washington St
Hanover, MA 02339-1675

Phone 339-237-0334

Mailing address

1112 Washington St
Hanover, MA 02339-1675

Authorized official

Lisa Mellace
Lmhc/Owner
3392370334

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