Individual
BETSY WISCH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LMHC
Contact information
Practice address
111 OLD ROAD TO 9 ACRE COR, CONCORD, MA 01742-4141
(978) 369-1113
(978) 369-0908
Mailing address
88 PEABODY DR, STOW, MA 01775-1007
(978) 897-0231
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
6011
MA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
LMG085
BCBS
MA
Enumeration date
02/27/2007
Last updated
07/08/2007
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