Individual provider · Type 1 NPI
Mark Francis Theodore, MA, LSW
Professional Counselor · Fall River, MA
NPI number
1629131263
Active
Practice location
795 Middle St
Fall River, MA 02721-1733
Fax (508) 235-5009
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Professional Counselor Primary | 101YP2500X | 3024783 (MA) |
Professional Counselor: Definition to come...
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About NPI 1629131263
Mark Francis Theodore, MA, LSW's National Provider Identifier is 1629131263, issued on Dec 18, 2006. The primary taxonomy on file is Professional Counselor (101YP2500X), and the practice location is in Fall River, MA. The record was last updated on May 11, 2011.