Individual
MS. ANITA MENON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.A.
Contact information
Practice address
529 MAIN ST STE 200, CHARLESTOWN, MA 02129-1119
(804) 314-2567
Mailing address
208 PROSPECT AVE, REVERE, MA 02151-3876
(804) 314-2567
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
—
—
Other
Enumeration date
07/19/2012
Last updated
04/19/2025
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