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Organization

COUNSELING CONNECTION OF LEXINGTON

Active
Organization subpart
No

Provider details

NPI number
Authorized official
DR. CHANTAL F NOUVELLON DO (DIRECTOR)
(781) 363-0390
Entity
Organization

Contact information

Practice address
2 WINTER ST, SUITE 401, WALTHAM, MA 02451
(781) 363-0390
(781) 646-0509
Mailing address
2 WINTER ST, SUITE 401, WALTHAM, MA 02451
(781) 363-0390
(781) 646-0509

Taxonomy

Speciality
Code
Description
License number
State
2084P0804X
Child & Adolescent Psychiatry Physician
Primary
154583
MA

Other

Enumeration date
02/08/2010
Last updated
04/26/2010
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