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NPI Code Detail

MEDICARE: RITA P. MACKINNON LMHC

MEDICARE: RITA P. MACKINNON 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 Counselor7070MA
2101YA0400XAddiction (Substance Use Disorder) Counselor7070MA

General Provider Information

NPI Number : 1275757429
Entity Type Code : Individual
Provider Name (Legal Business Name) : RITA P. MACKINNON LMHC
Provider Business Mailing Address
First Line : 1120 HANCOCK ST
Second Line :
City : QUINCY
State : MA
Zip : 02169-4313
Country : US
Telephone Number : 617-471-8400
Fax Number : 617-376-8910
Provider Business Practice Location Address
First Line : 1120 HANCOCK ST
Second Line :
City : QUINCY
State : MA
Zip : 02169-4313
Country : US
Telephone Number : 617-471-8400
Fax Number : 617-376-8910
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 04/12/2007
Last Update Date : 01/22/2014

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