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Organization
MODERN WELLNESS COUNSELING PC
Active
Organization
MODERN WELLNESS COUNSELING PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
LISA MELLACE (LMHC/OWNER)
(339) 237-0334
Entity
Organization
Contact information
Practice address
1112 WASHINGTON ST, HANOVER, MA 02339-1675
(339) 237-0334
Mailing address
1112 WASHINGTON ST, HANOVER, MA 02339-1675
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
—
—
Other
Enumeration date
07/24/2023
Last updated
05/07/2024
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