Individual provider · Type 1 NPI

Courtney Ann Formicola, M.A., M.PSY

Mental Health Counselor · Quincy, MA

NPI number 1417448481 Active

Practice location

859 Willard St
Quincy, MA 02169-7482

Call (914) 384-0915 Map

Mailing address

1701 16th St NW Apt 640
Washington, DC 20009-3155

Specialties and licenses

TaxonomyCodeLicense
Mental Health Counselor Primary 101YM0800XNone listed

Mental Health Counselor: Definition to come...

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About NPI 1417448481

Courtney Ann Formicola, M.A., M.PSY's National Provider Identifier is 1417448481, issued on May 24, 2018. The primary taxonomy on file is Mental Health Counselor (101YM0800X), and the practice location is in Quincy, MA. The record was last updated on May 24, 2018.