Individual provider · Type 1 NPI

Carissa Van

Mental Health Counselor · Quincy, MA

NPI number 1487176533 Active

Practice location

460 Quincy Ave
Quincy, MA 02169-8130

Call (800) 852-2844 Map

Fax (617) 786-9894

Mailing address

24 Peach St
Braintree, MA 02184-8112

Specialties and licenses

TaxonomyCodeLicense
Mental Health Counselor Primary 101YM0800XNone listed

Mental Health Counselor: Definition to come...

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About NPI 1487176533

Carissa Van's National Provider Identifier is 1487176533, issued on Jul 11, 2017. The primary taxonomy on file is Mental Health Counselor (101YM0800X), and the practice location is in Quincy, MA. The record was last updated on Jul 11, 2017.