Individual provider · Type 1 NPI
Ketelie Altena, MSW, CLINICIAN
Mental Health Counselor · Worcester, MA
NPI number
1619228129
Active
Practice location
10 Winthrop St Ste 3
Worcester, MA 01604-4445
Fax (508) 752-0947
Mailing address
2 Vigs Way
Worcester, MA 01604-1361
Other practice locations
- 11 Sandersdale Rd, Southbridge, MA 01550-2855 · (774) 420-2311
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Mental Health Counselor Primary | 101YM0800X | None listed |
Mental Health Counselor: Definition to come...
Another provider at this address
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About NPI 1619228129
Ketelie Altena, MSW, CLINICIAN's National Provider Identifier is 1619228129, issued on Sep 24, 2012. The primary taxonomy on file is Mental Health Counselor (101YM0800X), and the practice location is in Worcester, MA. The record was last updated on Jul 9, 2024.