Individual provider · Type 1 NPI

Carolyn Dilara Bristow

Mental Health Counselor · Salem, MA

NPI number 1134848724 Active

Practice location

110 Boston St
Salem, MA 01970-1402

Mailing address

130 Essex St # 25A
South Hamilton, MA 01982-2325

Specialties and licenses

TaxonomyCodeLicense
Mental Health Counselor Primary 101YM0800XNone listed

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About NPI 1134848724

Carolyn Dilara Bristow's National Provider Identifier is 1134848724, issued on Aug 25, 2022. The primary taxonomy on file is Mental Health Counselor (101YM0800X), and the practice location is in Salem, MA. The record was last updated on Aug 25, 2022.