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NPI Code Detail

MEDICARE: STEPHANIE A MCDONOUGH LMHC

MEDICARE: STEPHANIE A MCDONOUGH LMHC
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1101YM0800XMental Health Counselor4999MA

General Provider Information

NPI Number : 1225349590
Entity Type Code : Individual
Provider Name (Legal Business Name) : STEPHANIE A MCDONOUGH LMHC
Provider Business Mailing Address
First Line : 93 WHITCOMB AVE
Second Line :
City : LITTLETON
State : MA
Zip : 01460-1405
Country : US
Telephone Number : 978-501-7841
Fax Number :
Provider Business Practice Location Address
First Line : 290 LITTLETON RD
Second Line : SUITE 1A
City : CHELMSFORD
State : MA
Zip : 01824-3406
Country : US
Telephone Number : 978-540-5978
Fax Number : 978-319-9293
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 07/01/2010
Last Update Date : 07/23/2013

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Directions to “ STEPHANIE A MCDONOUGH LMHC” Practice Location

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