MEDICARE: CHRISTINE PERRY 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	11968	MA

General Provider Information

NPI Number	:	1992297238
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	CHRISTINE PERRY LMHC

Provider Business Mailing Address
First Line	:	4 MOUNT ROYAL AVE STE 360
Second Line	:
City	:	MARLBOROUGH
State	:	MA
Zip	:	01752-1961
Country	:	US
Telephone Number	:	978-222-3121
Fax Number	:

Provider Business Practice Location Address
First Line	:	4 MOUNT ROYAL AVE STE 360
Second Line	:
City	:	MARLBOROUGH
State	:	MA
Zip	:	01752-1961
Country	:	US
Telephone Number	:	978-222-3121
Fax Number	:

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

Provider Enumeration Date	:	06/02/2018
Last Update Date	:	01/13/2024

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Directions to “ CHRISTINE PERRY LMHC” Practice Location

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