Healthcare Provider Details

I. General information

NPI: 1851466205
Provider Name (Legal Business Name): CRISTINA MARIA ANDRIANI LMHC
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 11/21/2006
Last Update Date: 11/17/2016
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

80 WORCESTER ST SUITE 10
NORTH GRAFTON MA
01536-1041
US

IV. Provider business mailing address

80 WORCESTER ST SUITE 10
NORTH GRAFTON MA
01536-1041
US

V. Phone/Fax

Practice location:
  • Phone: 774-420-6808
  • Fax: 888-974-1012
Mailing address:
  • Phone: 774-420-6808
  • Fax: 888-974-1012

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code101YM0800X
TaxonomyMental Health Counselor
License Number8707
License Number StateMA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: