MEDICARE: JONATHAN FARR 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
1	101YP2500X	Professional Counselor	10134	MA

General Provider Information

NPI Number	:	1376954289
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	JONATHAN FARR LMHC

Provider Business Mailing Address
First Line	:	60 WASHINGTON DR
Second Line	:
City	:	ACTON
State	:	MA
Zip	:	01720-3132
Country	:	US
Telephone Number	:	617-329-1075
Fax Number	:	617-221-3956

Provider Business Practice Location Address
First Line	:	60 WASHINGTON DR
Second Line	:
City	:	ACTON
State	:	MA
Zip	:	01720-3132
Country	:	US
Telephone Number	:	617-329-1075
Fax Number	:	617-221-3956

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	05/13/2014
Last Update Date	:	12/22/2023

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Directions to “ JONATHAN FARR LMHC” Practice Location

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