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NPI Code Detail

MEDICARE: MRS. DONNA M CHALIFOUX M.S.

MEDICARE:  MRS. DONNA M CHALIFOUX  M.S.
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 : 1669513412
Entity Type Code : Individual
Provider Name (Legal Business Name) : MRS. DONNA M CHALIFOUX M.S.
Provider Business Mailing Address
First Line : 65 CHESTNUT ST
Second Line : APT 2
City : GARDNER
State : MA
Zip : 01440-2217
Country : US
Telephone Number : 978-407-0699
Fax Number :
Provider Business Practice Location Address
First Line : 205 SCHOOL ST
Second Line :
City : GARDNER
State : MA
Zip : 01440-2781
Country : US
Telephone Number : 978-632-2321
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 02/12/2007
Last Update Date : 03/04/2010

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Directions to “ MRS. DONNA M CHALIFOUX M.S.” Practice Location

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