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NPI Code Detail

MEDICARE: ALISA CANNEY

MEDICARE: ALISA CANNEY
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

General Provider Information

NPI Number : 1477485811
Entity Type Code : Individual
Provider Name (Legal Business Name) : ALISA CANNEY
Provider Business Mailing Address
First Line : 100A HAVERHILL ST
Second Line :
City : METHUEN
State : MA
Zip : 01844-4297
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 100A HAVERHILL ST
Second Line :
City : METHUEN
State : MA
Zip : 01844-4297
Country : US
Telephone Number : 978-682-5276
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 06/01/2026
Last Update Date : 06/01/2026

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1437611688 — DANIELLE NICOLE CARROLL LMHC
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Directions to “ ALISA CANNEY ” Practice Location

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