Individual provider · Type 1 NPI

Jaime R. Suvak, LMHC

Mental Health Counselor · Cambridge, MA

NPI number 1396979100 Active

Practice location

675 Massachusetts Ave, Floor 11, Psychotherapy Suite
Cambridge, MA 02139-3309

Mailing address

62 Medford St
Medford, MA 02155-6524

Specialties and licenses

TaxonomyCodeLicense
Mental Health Counselor Primary 101YM0800X5433 (MA)

Mental Health Counselor: Definition to come...

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About NPI 1396979100

Jaime R. Suvak, LMHC's National Provider Identifier is 1396979100, issued on May 7, 2009. The primary taxonomy on file is Mental Health Counselor (101YM0800X), and the practice location is in Cambridge, MA. The record was last updated on May 7, 2009.