Individual
BILLIE F BIVINS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LMHC, LADC II, LCPC
Contact information
Practice address
111 SOUTH ST., SOMERVILLE, MA 02143
(617) 284-5130
(617) 591-0239
Mailing address
P.O. BOX 380392, CAMBRIDGE, MA 02138
(207) 985-9749
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
XL2658
ME
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
431665799
—
ME
Enumeration date
08/15/2006
Last updated
12/06/2010
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