Healthcare Provider Details

I. General information

NPI: 1689596769
Provider Name (Legal Business Name): ALMA ROCIO CABAZOS FERNANDEZ MA
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 07/29/2026
Last Update Date: 07/29/2026
Certification Date: 07/29/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

32 CAROUSEL LN APT 201
LUNENBURG MA
01462-2433
US

IV. Provider business mailing address

32 CAROUSEL LN APT 201
LUNENBURG MA
01462-2433
US

V. Phone/Fax

Practice location:
  • Phone: 413-574-1353
  • Fax: 978-342-1631
Mailing address:
  • Phone: 413-574-1353
  • Fax: 978-342-1631

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code101YM0800X
TaxonomyMental Health Counselor
License Number
License Number StateMA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: