Individual provider · Type 1 NPI
Stanislav Sevostyanov, LMHC
Mental Health Counselor · Westwood, MA
NPI number
1033929294
Active
Practice location
248 Providence Hwy # 5005
Westwood, MA 02090-1908
Fax (617) 684-6374
Mailing address
920 Providence Hwy Apt 210
Dedham, MA 02026-6809
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Mental Health Counselor Primary | 101YM0800X | LMHC10003442 (MA) |
Mental Health Counselor: Definition to come...
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About NPI 1033929294
Stanislav Sevostyanov, LMHC's National Provider Identifier is 1033929294, issued on Jan 9, 2025. The primary taxonomy on file is Mental Health Counselor (101YM0800X), and the practice location is in Westwood, MA. The record was last updated on Apr 23, 2025.