Individual provider · Type 1 NPI

Marissa Pennace

Counselor · Milford, MA

NPI number 1699020701 Active

Practice location

321 Fortune Blvd
Milford, MA 01757-1750

Fax (508) 634-6984

Mailing address

100A Haverhill St
Methuen, MA 01844-4251

Specialties and licenses

TaxonomyCodeLicense
Developmental Therapist 222Q00000XNone listed
Counselor Primary 101Y00000XNone listed

Counselor: A provider who is trained and educated in the performance of behavior health services through interpersonal communications and analysis. Training and education at the specialty level usually requires a master's degree and clinical experience and supervision for licensure or certification.

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About NPI 1699020701

Marissa Pennace's National Provider Identifier is 1699020701, issued on Jul 16, 2012. The primary taxonomy on file is Counselor (101Y00000X), and the practice location is in Milford, MA. The record was last updated on Feb 5, 2015.