MEDICARE: DONNA MARIE COTTER L.M.H.C.

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	22839	NC
2	101YM0800X	Mental Health Counselor	4896	MA

General Provider Information

NPI Number	:	1558496034
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DONNA MARIE COTTER L.M.H.C.

Provider Business Mailing Address
First Line	:	118 LONG POND RD
Second Line	:
City	:	PLYMOUTH
State	:	MA
Zip	:	02360-2662
Country	:	US
Telephone Number	:	508-747-6762
Fax Number	:

Provider Business Practice Location Address
First Line	:	118 LONG POND RD
Second Line	:	SUITE 100
City	:	PLYMOUTH
State	:	MA
Zip	:	02360-2662
Country	:	US
Telephone Number	:	508-747-6762
Fax Number	:	508-747-1315

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

Provider Enumeration Date	:	02/23/2007
Last Update Date	:	05/08/2026

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