Individual provider · Type 1 NPI

Meridith Lauren Nicholaev

Mental Health Counselor · Boston, MA

NPI number 1679298749 Active

Practice location

66 Canal St
Boston, MA 02114-2002

Mailing address

11 Lane Park Apt 1
Brighton, MA 02135-3117

Specialties and licenses

TaxonomyCodeLicense
Mental Health Counselor Primary 101YM0800XNone listed

Mental Health Counselor: Definition to come...

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About NPI 1679298749

Meridith Lauren Nicholaev's National Provider Identifier is 1679298749, issued on Oct 11, 2022. The primary taxonomy on file is Mental Health Counselor (101YM0800X), and the practice location is in Boston, MA. The record was last updated on Oct 11, 2022.