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NPI Code Detail

MEDICARE: ANDREA HOPE WALSH

MEDICARE: ANDREA HOPE WALSH
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 Counselor

General Provider Information

NPI Number : 1427306562
Entity Type Code : Individual
Provider Name (Legal Business Name) : ANDREA HOPE WALSH
Provider Business Mailing Address
First Line : 200 CORPORATE PL STE 6A
Second Line :
City : PEABODY
State : MA
Zip : 01960-3840
Country : US
Telephone Number : 978-317-1037
Fax Number :
Provider Business Practice Location Address
First Line : 200 CORPORATE PL STE 6A
Second Line :
City : PEABODY
State : MA
Zip : 01960-3840
Country : US
Telephone Number : 978-317-1037
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 08/21/2012
Last Update Date : 06/15/2026

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Directions to “ ANDREA HOPE WALSH ” Practice Location

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