MEDICARE: MS. JENNY L HUYNH LMHC

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

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	6726	OTHER	MA	LMHC NUMBER

General Provider Information

NPI Number	:	1821010182
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MS. JENNY L HUYNH LMHC

Provider Business Mailing Address
First Line	:	255 HIGHLAND AVE
Second Line	:	2ND FL.
City	:	NEEDHAM HEIGHTS
State	:	MA
Zip	:	02494-3023
Country	:	US
Telephone Number	:	781-433-0672
Fax Number	:

Provider Business Practice Location Address
First Line	:	255 HIGHLAND AVE
Second Line	:	2ND FL.
City	:	NEEDHAM HEIGHTS
State	:	MA
Zip	:	02494-3023
Country	:	US
Telephone Number	:	781-433-0672
Fax Number	:

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

Provider Enumeration Date	:	07/24/2006
Last Update Date	:	01/08/2009

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