Individual provider · Type 1 NPI

Nicholas Moallem

Mental Health Counselor · Cambridge, MA

NPI number 1912400110 Active

Practice location

12 Inman St
Cambridge, MA 02139-2423

Call (779) 537-2243 Map

Mailing address

71 Williams St Apt 3
Jamaica Plain, MA 02130-3856

Other practice locations

  • 71 Williams St Apt 3, Jamaica Plain, MA 02130-3856 · (779) 537-2243

Specialties and licenses

TaxonomyCodeLicense
Mental Health Counselor Primary 101YM0800X12821-MH-CC. (MA)
Behavior Analyst 103K00000XNone listed

Mental Health Counselor: Definition to come...

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About NPI 1912400110

Nicholas Moallem's National Provider Identifier is 1912400110, issued on Mar 14, 2018. The primary taxonomy on file is Mental Health Counselor (101YM0800X), and the practice location is in Cambridge, MA. The record was last updated on Mar 15, 2022.