Individual
AVERY LORD
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.ED
Contact information
Practice address
49 WALTHAM ST, LEXINGTON, MA 02421-5418
(888) 695-7775
Mailing address
153 CHERRY ST, CAMBRIDGE, MA 02139-2737
(203) 788-6619
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
—
—
Other
Enumeration date
06/05/2024
Last updated
06/05/2024
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