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General NPI Number Information
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NPI Number | 1902743610
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Entity Type | Individual
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Provider Name | MAKENNA OLIVIA MCCLOSKEY LMHC
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Gender | Female
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Dates
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Enumeration Date | 04/30/2026
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Last Update Date | 04/30/2026
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Provider Practice Location Address
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Address Line | 1388 MAIN STREET SUITE 2A
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City | PALMER
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State | MA
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Zip | 01069
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Country | US
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Telephone | 413-265-0171
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Fax |
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Provider Business Mailing Address
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Address Line | PO BOX 214
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City | MONSON
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State | MA
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Zip | 01057-0214
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Country | US
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Telephone | 413-265-0171
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Fax |
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Authorized Official
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Title or Position |
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Name |
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Credential |
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Telephone |
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 101YM0800X
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Taxonomy Name | Mental Health Counselor
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License Number | LMHC10002089
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License Number State | MA
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