Individual provider · Type 1 NPI

Ivelis Macaruso

Mental Health Counselor · Worcester, MA

NPI number 1659680510 Active

Practice location

484 Main St, Suite 560
Worcester, MA 01608-1893

Fax (508) 363-0562

Specialties and licenses

TaxonomyCodeLicense
Mental Health Counselor Primary 101YM0800XNone listed

Mental Health Counselor: Definition to come...

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About NPI 1659680510

Ivelis Macaruso's National Provider Identifier is 1659680510, issued on Sep 27, 2010. The primary taxonomy on file is Mental Health Counselor (101YM0800X), and the practice location is in Worcester, MA. The record was last updated on Sep 27, 2010.