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

TaxonomyCodeLicense
Mental Health Counselor Primary 101YM0800X11440 (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.