Individual provider · Type 1 NPI

Carol Ann Licitra, LMHC

Mental Health Counselor · Cambridge, MA

NPI number 1477681302 Active

Practice location

930 Massachusetts Ave
Cambridge, MA 02139-3234

Fax (617) 844-1606

Specialties and licenses

TaxonomyCodeLicense
Mental Health Counselor Primary 101YM0800X5361 (MA)

Mental Health Counselor: Definition to come...

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About NPI 1477681302

Carol Ann Licitra, LMHC's National Provider Identifier is 1477681302, issued on Mar 1, 2007. The primary taxonomy on file is Mental Health Counselor (101YM0800X), and the practice location is in Cambridge, MA. The record was last updated on Jul 8, 2007.