MEDICARE: MS. NATALIE BLUE

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
1	101YM0800X	Mental Health Counselor

General Provider Information

NPI Number	:	1144412198
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MS. NATALIE BLUE

Provider Business Mailing Address
First Line	:	394 ESSEX ST
Second Line	:	UNIT 2
City	:	SALEM
State	:	MA
Zip	:	01970-3154
Country	:	US
Telephone Number	:	201-486-7268
Fax Number	:

Provider Business Practice Location Address
First Line	:	394 ESSEX ST
Second Line	:	UNIT 2
City	:	SALEM
State	:	MA
Zip	:	01970-3154
Country	:	US
Telephone Number	:	201-486-7268
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	08/14/2007
Last Update Date	:	08/14/2007

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Directions to “ MS. NATALIE BLUE ” Practice Location

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