Organization · Type 2 NPI
Amanda Nicely
Mental Health Counselor · Middleboro, MA
NPI number
1104209204
Active
Practice location
205 W Grove St, Suite E
Middleboro, MA 02346-1462
Fax (508) 923-1991
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Mental Health Counselor Primary | 101YM0800X | 8586 (MA) |
| Mental Health Counselor | 101YM0800X | 8644 (MA) |
| Clinical Social Worker | 1041C0700X | 115553 (MA) |
Mental Health Counselor: Definition to come...
7 other providers at this address
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About NPI 1104209204
Amanda Nicely's National Provider Identifier is 1104209204, issued on Jul 7, 2015. The primary taxonomy on file is Mental Health Counselor (101YM0800X), and the practice location is in Middleboro, MA. The record was last updated on Jul 10, 2015.