Individual provider · Type 1 NPI

Willow Bough Carpenter

Mental Health Counselor · Allston, MA

NPI number 1356520050 Active

Practice location

14 Fordham Rd
Allston, MA 02134-3006

Specialties and licenses

TaxonomyCodeLicense
Mental Health Counselor Primary 101YM0800XNone listed

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About NPI 1356520050

Willow Bough Carpenter's National Provider Identifier is 1356520050, issued on Oct 30, 2007. The primary taxonomy on file is Mental Health Counselor (101YM0800X), and the practice location is in Allston, MA. The record was last updated on Oct 30, 2007.