MEDICARE: NANCY MARIE PARLAND SR.

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	5291	MA

General Provider Information

NPI Number	:	1235140591
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	NANCY MARIE PARLAND SR.

Provider Business Mailing Address
First Line	:	11 BIRCH RD
Second Line	:
City	:	SHELBURNE FALLS
State	:	MA
Zip	:	01370-1501
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	238 MAIN ST
Second Line	:	SUITE 4
City	:	GREENFIELD
State	:	MA
Zip	:	01301-3243
Country	:	US
Telephone Number	:	413-774-6252
Fax Number	:

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

Provider Enumeration Date	:	08/11/2006
Last Update Date	:	07/08/2007

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Directions to “ NANCY MARIE PARLAND SR. ” Practice Location

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