Individual provider · Type 1 NPI

Suzanne Thibault

Mental Health Counselor · Worcester, MA

NPI number 1114642220 Active

Practice location

1280 Main St
Worcester, MA 01603-1861

Specialties and licenses

TaxonomyCodeLicense
Mental Health Counselor Primary 101YM0800XNone listed

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About NPI 1114642220

Suzanne Thibault's National Provider Identifier is 1114642220, issued on Oct 11, 2022. The primary taxonomy on file is Mental Health Counselor (101YM0800X), and the practice location is in Worcester, MA. The record was last updated on Oct 11, 2022.