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NPI Code Detail

MEDICARE: MARITZA CRISTINA PACHANO AREVALO MA, CAGS,

MEDICARE:   MARITZA CRISTINA PACHANO AREVALO  MA, CAGS,
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 Counselor6737MA

General Provider Information

NPI Number : 1588785885
Entity Type Code : Individual
Provider Name (Legal Business Name) : MARITZA CRISTINA PACHANO AREVALO MA, CAGS,
Provider Business Mailing Address
First Line : 82 WENDELL AVE STE 100
Second Line :
City : PITTSFIELD
State : MA
Zip : 01201-7066
Country : US
Telephone Number : 617-803-7240
Fax Number :
Provider Business Practice Location Address
First Line : 82 WENDELL AVE STE 100
Second Line :
City : PITTSFIELD
State : MA
Zip : 01201-7066
Country : US
Telephone Number : 617-803-7240
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 04/03/2007
Last Update Date : 08/15/2025

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Directions to “ MARITZA CRISTINA PACHANO AREVALO MA, CAGS,” Practice Location

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