MEDICARE: MRS. KARA M MCCARTHY-CHAPDELAINE M.ED, 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
1	101YM0800X	Mental Health Counselor	000007001	MA

General Provider Information

NPI Number	:	1770717647
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MRS. KARA M MCCARTHY-CHAPDELAINE M.ED, CAGS

Provider Business Mailing Address
First Line	:	5 HOCKANUM RD
Second Line	:
City	:	HADLEY
State	:	MA
Zip	:	01035-9722
Country	:	US
Telephone Number	:	413-584-2625
Fax Number	:	413-584-2625

Provider Business Practice Location Address
First Line	:	245 RUSSELL ST
Second Line	:
City	:	HADLEY
State	:	MA
Zip	:	01035-9529
Country	:	US
Telephone Number	:	413-586-8485
Fax Number	:	413-586-8485

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

Provider Enumeration Date	:	05/07/2009
Last Update Date	:	05/07/2009

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