Individual provider · Type 1 NPI

Fern Leslie Ross Israel, L.M.H.C.

Mental Health Counselor · Milton, MA

NPI number 1699824490 Active

Practice location

464 Granite Ave, Suite 25
Milton, MA 02186-5625

Fax (617) 696-1274

Specialties and licenses

TaxonomyCodeLicense
Mental Health Counselor Primary 101YM0800XNone listed

Mental Health Counselor: Definition to come...

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About NPI 1699824490

Fern Leslie Ross Israel, L.M.H.C.'s National Provider Identifier is 1699824490, issued on Jan 9, 2007. The primary taxonomy on file is Mental Health Counselor (101YM0800X), and the practice location is in Milton, MA. The record was last updated on Jul 8, 2007.