Individual
DENISE MARIE FANEUFF
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LMHC
Contact information
Practice address
45 STERLING ST # 25A, WEST BOYLSTON, MA 01583-1200
(508) 335-8364
Mailing address
45 STERLING ST # 25A, WEST BOYLSTON, MA 01583-1200
(508) 335-8364
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
5968
MA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
11717976
CAQH
MA
Enumeration date
05/01/2007
Last updated
08/11/2023
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