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NPI Code Detail

MEDICARE: CHRISTINE SCIACCA LCSW

MEDICARE: CHRISTINE SCIACCA LCSW
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 : 1538731914
Entity Type Code : Individual
Provider Name (Legal Business Name) : CHRISTINE SCIACCA LCSW
Provider Business Mailing Address
First Line : 3 FERRY ST
Second Line :
City : HAVERHILL
State : MA
Zip : 01835-7442
Country : US
Telephone Number : 978-994-0902
Fax Number :
Provider Business Practice Location Address
First Line : 3 FERRY ST
Second Line :
City : HAVERHILL
State : MA
Zip : 01835-7442
Country : US
Telephone Number : 978-994-0902
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 07/14/2021
Last Update Date : 07/14/2021

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Directions to “ CHRISTINE SCIACCA LCSW” Practice Location

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