Individual
ANISSA ALI
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LICSW
Contact information
Practice address
800 CUMMINGS CTR, SUITE 266T, BEVERLY, MA 01915-6175
(978) 921-1190
(978) 927-3724
Mailing address
1493 CAMBRIDGE ST, CAMBRIDGE, MA 02139-1047
(617) 665-1561
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
—
—
101YM0800X
Mental Health Counselor
—
—
1041C0700X
Clinical Social Worker
Primary
—
—
Other
Enumeration date
09/21/2011
Last updated
09/12/2022
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