Individual
CARMEN CARMONA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MSW
Contact information
Practice address
340 MAIN ST, WORCESTER, MA 01608
(508) 847-5516
Mailing address
340 MAIN ST, WORCESTER, MA 01608-1604
(508) 847-5516
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
—
—
101YM0800X
Mental Health Counselor
Primary
—
—
Other
Enumeration date
12/02/2015
Last updated
12/02/2015
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