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NPI Code Detail

MEDICARE: MS. JANINE V GENDREAU MA, LMHC

MEDICARE: MS. JANINE V GENDREAU MA, 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 Counselor1281MA

General Provider Information

NPI Number : 1750318846
Entity Type Code : Individual
Provider Name (Legal Business Name) : MS. JANINE V GENDREAU MA, LMHC
Provider Business Mailing Address
First Line : 63 LEE ST
Second Line :
City : FALL RIVER
State : MA
Zip : 02724-2825
Country : US
Telephone Number : 508-674-7797
Fax Number :
Provider Business Practice Location Address
First Line : 10 N MAIN ST
Second Line :
City : FALL RIVER
State : MA
Zip : 02720-2130
Country : US
Telephone Number : 508-678-2833
Fax Number : 508-675-9640
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 06/26/2006
Last Update Date : 07/08/2007

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