Healthcare Provider Details

I. General information

NPI: 1265537682
Provider Name (Legal Business Name): WILLIAM FRANCIS HARNEY JR. MED LMHC
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 09/13/2006
Last Update Date: 07/08/2007
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

172 LAFAYETTE ST
SALEM MA
01970
US

IV. Provider business mailing address

7 AVON RD
DANVERS MA
01923
US

V. Phone/Fax

Practice location:
  • Phone: 978-777-2265
  • Fax:
Mailing address:
  • Phone: 978-777-2265
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code101YM0800X
TaxonomyMental Health Counselor
License Number27
License Number StateMA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: