Individual provider · Type 1 NPI
Alyssa Demoulas
Mental Health Counselor · Cambridge, MA
NPI number
1508409012
Active
Practice location
3 Bow St
Cambridge, MA 02138-5109
Fax (617) 547-0003
Other practice locations
- 12 Plympton St, Cambridge, MA 02138-6606 · (617) 547-2255
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Mental Health Counselor Primary | 101YM0800X | 11440 (MA) |
Mental Health Counselor: Definition to come...
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About NPI 1508409012
Alyssa Demoulas's National Provider Identifier is 1508409012, issued on Oct 28, 2019. The primary taxonomy on file is Mental Health Counselor (101YM0800X), and the practice location is in Cambridge, MA. The record was last updated on Oct 28, 2019.