Individual
MS. MIA LISE CARBONE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
M.A., LMHC
Contact information
Practice address
22 MANNING ST, HUDSON, MA 01749-2201
(978) 235-2335
Mailing address
22 MANNING ST, HUDSON, MA 01749-2201
(978) 235-2335
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
1270
MA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1270
LMHC
MA
Enumeration date
01/02/2007
Last updated
07/08/2007
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