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NPI Code Detail

MEDICARE: MISS GINA MARIE RABBITT M.S.

MEDICARE: MISS GINA MARIE RABBITT M.S.
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1101YM0800XMental Health CounselorS15495922MA

General Provider Information

NPI Number : 1003001413
Entity Type Code : Individual
Provider Name (Legal Business Name) : MISS GINA MARIE RABBITT M.S.
Provider Business Mailing Address
First Line : 3 RED JACKET LN
Second Line :
City : SALEM
State : MA
Zip : 01970-6839
Country : US
Telephone Number : 339-221-0560
Fax Number :
Provider Business Practice Location Address
First Line : 172 LAFAYETTE ST
Second Line :
City : SALEM
State : MA
Zip : 01970-4815
Country : US
Telephone Number : 978-744-1386
Fax Number : 978-740-4996
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 09/10/2007
Last Update Date : 09/10/2007

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Directions to “ MISS GINA MARIE RABBITT M.S.” Practice Location

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