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NPI Code Detail

MEDICARE: MRS. CATHERINE SARGENT MS, LMHC, CEIS, LABA

MEDICARE: MRS. CATHERINE SARGENT MS, LMHC, CEIS, LABA
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 Counselor
2103K00000XBehavior Analyst
3101Y00000XCounselor5935MA

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
11669838561OTHERNPI

General Provider Information

NPI Number : 1407968027
Entity Type Code : Individual
Provider Name (Legal Business Name) : MRS. CATHERINE SARGENT MS, LMHC, CEIS, LABA
Provider Business Mailing Address
First Line : 51 MILL ST
Second Line :
City : HANOVER
State : MA
Zip : 02339-1641
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 51 MILL ST
Second Line :
City : HANOVER
State : MA
Zip : 02339-1641
Country : US
Telephone Number : 819-230-0327
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 08/31/2006
Last Update Date : 10/12/2020

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