Individual provider · Type 1 NPI

Kathleen Lally, MA

Mental Health Counselor · Worcester, MA

NPI number 1487805388 Active

Practice location

20 Cedar St
Worcester, MA 01609-2520

Call (508) 753-5425 Map

Fax (508) 753-9625

Mailing address

129 Fairhaven Rd
Worcester, MA 01606-3115

Specialties and licenses

TaxonomyCodeLicense
Mental Health Counselor Primary 101YM0800XNone listed

Mental Health Counselor: Definition to come...

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About NPI 1487805388

Kathleen Lally, MA's National Provider Identifier is 1487805388, issued on Oct 9, 2008. The primary taxonomy on file is Mental Health Counselor (101YM0800X), and the practice location is in Worcester, MA. The record was last updated on Oct 9, 2008.