MEDICARE: LAUREN KAMERZEL 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	7204	MA

General Provider Information

NPI Number	:	1942736616
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	LAUREN KAMERZEL LMHC

Provider Business Mailing Address
First Line	:	396 APPLETON ST
Second Line	:
City	:	ARLINGTON
State	:	MA
Zip	:	02476-7048
Country	:	US
Telephone Number	:	203-592-2668
Fax Number	:

Provider Business Practice Location Address
First Line	:	51 KONDAZIAN ST
Second Line	:
City	:	WATERTOWN
State	:	MA
Zip	:	02472-2830
Country	:	US
Telephone Number	:	617-924-1285
Fax Number	:	617-661-0341

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

Provider Enumeration Date	:	05/02/2017
Last Update Date	:	05/02/2017

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