Carol Ann Licitra in Cambridge - Mental Health
Carol Ann Licitra - NPI 1477681302
Carol Ann Licitra is a Mental Health in Cambridge, Massachusetts. Carol Ann Licitra practices all healthcare services and medical treatments related to Mental Health. The NPI Number for Carol Ann Licitra is 1477681302. The last update date is 2007-07-08.
Carol Ann Licitra's current location address is 930 Massachusetts Ave, Cambridge, Massachusetts. You can contact this provider via phone number 6178777481 and fax number 6178441606. The mailing address for Carol Ann Licitra is 930 Massachusetts Ave, Cambridge, Massachusetts. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Carol Ann Licitra |
|---|---|
| Address | 930 Massachusetts Ave, Cambridge, Massachusetts |
| Phone Number | 6178777481 |
| Fax Number | 6178441606 |
| Sole Proprietor | Y |
| Credentials | LMHC |
NPI Number Detail
| NPI Number | 1477681302 |
|---|---|
| Provider Enumeration Date | 2007-03-01 |
| Last Updated Date | 2007-07-08 |
Provider Mailing Address Detail
| Address | 930 Massachusetts Ave |
|---|---|
| City | Cambridge |
| State | Massachusetts (MA) |
| Post Code | 21393234 |
| Phone Number | 6178777481 |
| Fax Number | 6178441606 |
Provider's Primary Taxonomy Detail
| Speciality | Mental Health |
|---|---|
| Taxonomy | 101Ym0800X |
| Licence No | 5361 |
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Definition: A counselor who helps people manage conditions like depression, anxiety, grief, relationship issues, and more. |
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Post Comment/ Review Below
What is the unique 10-digit identification code assigned to Carol Ann Licitra by the Centers for Medicare & Medicaid Services?
The Carol Ann Licitra has been issued the NPI (National Provider Identifier) 1477681302, which serves as a unique identifier for healthcare providers, assigned by the Centers for Medicare & Medicaid Services (CMS).
Could you provide the complete address where Carol Ann Licitra is physically located?
The Carol Ann Licitra is situated at the following address: 930 Massachusetts Ave, Cambridge, MA 21393234.
What is Carol Ann Licitra's primary field of medical specialization, and what is the corresponding taxonomy classification code for this area of expertise?
The primary field of medical specialization for Carol Ann Licitra is Mental Health, and the taxonomy classification code that categorizes this area of expertise is 101Ym0800X.
On what date did the Centers for Medicare & Medicaid Services issue the 1477681302 to Carol Ann Licitra?
The Carol Ann Licitra received its 1477681302 assignment from the Centers for Medicare & Medicaid Services on 2007-03-01.
When was the information regarding Carol Ann Licitra, such as address, specialty, and other details, most recently verified or confirmed to be accurate?
The information pertaining to Carol Ann Licitra, including its address, specialty, and other relevant details, was most recently verified or confirmed to be accurate on 2007-07-08.
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