Healthcare Provider Details

I. General information

NPI: 1750105342
Provider Name (Legal Business Name): MARIA YOANA CATANO LUSSIER MA
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

Provider Other Name: YOANA CATANO MA

II. Dates (important events)

Enumeration Date: 11/11/2024
Last Update Date: 11/11/2024
Certification Date: 11/11/2024
Deactivation Date:
Reactivation Date:

III. Provider practice location address

51 UNION ST
WORCESTER MA
01608-1194
US

IV. Provider business mailing address

51 UNION ST STE G02
WORCESTER MA
01608-1138
US

V. Phone/Fax

Practice location:
  • Phone: 508-556-0745
  • Fax:
Mailing address:
  • Phone: 508-499-9002
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

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

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: