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Courtney Rose Bieda

Counselor, Mental Health in Waltham, MA. Individual provider (NPI-1).

NPI number1811596703
StatusActive
Last updated in NPPESNov 16, 2020

Details

NPI
1811596703
Entity type
Individual (NPI-1)
Name
Ms. Courtney Rose Bieda
Sex
Female
Sole proprietor
Yes
Enumeration date
Oct 21, 2020
Certification date
Nov 16, 2020
Last updated
Nov 16, 2020

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
101YM0800X Counselor, Mental Health––Yes

Practice location

675 Main St
Waltham, MA 02451-0602

Phone 516-974-6605

Mailing address

675 Main St
Waltham, MA 02451-0602

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