MEDICARE: MS. LINDA SUE HARRINGTON 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	1126	MA

General Provider Information

NPI Number	:	1417084518
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MS. LINDA SUE HARRINGTON LMHC

Provider Business Mailing Address
First Line	:	55 KONDAZIAN ST
Second Line	:
City	:	WATERTOWN
State	:	MA
Zip	:	02472-2830
Country	:	US
Telephone Number	:	617-926-7148
Fax Number	:	617-227-5447

Provider Business Practice Location Address
First Line	:	55 KONDAZIAN ST
Second Line	:
City	:	WATERTOWN
State	:	MA
Zip	:	02472-2830
Country	:	US
Telephone Number	:	617-926-7148
Fax Number	:	617-227-5447

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

Provider Enumeration Date	:	02/27/2007
Last Update Date	:	07/08/2007

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