Organization · Type 2 NPI
Streettherapy,llc
Mental Health Counselor · Lexington, MA
NPI number
1972149300
Active
Practice location
Triad Adolescent Services, 363 Mass. Ave., SUITE204
Lexington, MA 02421
Mailing address
96 Warren St
Medford, MA 02155-2235
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Mental Health Counselor Primary | 101YM0800X | None listed |
Mental Health Counselor: Definition to come...
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About NPI 1972149300
Streettherapy,llc's National Provider Identifier is 1972149300, issued on Nov 20, 2019. The primary taxonomy on file is Mental Health Counselor (101YM0800X), and the practice location is in Lexington, MA. The record was last updated on Nov 20, 2019.