MEDICARE: INESSA ALTSHULER 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
1	101YM0800X	Mental Health Counselor

General Provider Information

NPI Number	:	1306180740
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	INESSA ALTSHULER LMHC

Provider Business Mailing Address
First Line	:	383 ELLIOT ST # 100
Second Line	:
City	:	NEWTON UPPER FALLS
State	:	MA
Zip	:	02464-1126
Country	:	US
Telephone Number	:	339-225-9202
Fax Number	:	781-430-0548

Provider Business Practice Location Address
First Line	:	383 ELLIOT ST # 100
Second Line	:
City	:	NEWTON UPPER FALLS
State	:	MA
Zip	:	02464-1126
Country	:	US
Telephone Number	:	339-225-9202
Fax Number	:	781-430-0548

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

Provider Enumeration Date	:	11/26/2012
Last Update Date	:	03/03/2026

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