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NPI Code Detail

MEDICARE: MRS. MARA LEE HELLER LMHC

MEDICARE: MRS. MARA LEE HELLER LMHC
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 Counselor5041MA

General Provider Information

NPI Number : 1134295298
Entity Type Code : Individual
Provider Name (Legal Business Name) : MRS. MARA LEE HELLER LMHC
Provider Business Mailing Address
First Line : 23 HORSESHOE DR
Second Line :
City : AUBURN
State : MA
Zip : 01501-1211
Country : US
Telephone Number : 617-543-9180
Fax Number :
Provider Business Practice Location Address
First Line : 88 LINCOLN ST
Second Line :
City : FRAMINGHAM
State : MA
Zip : 01702-6354
Country : US
Telephone Number : 508-620-0010
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 11/28/2006
Last Update Date : 07/08/2007

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