Individual
MARK BELLUARDO-CROSBY
Active
Sole proprietor
Provider details
NPI number
Gender
Man
Credential
D.MIN, LMHC
Contact information
Practice address
30 FEDERAL ST, SUITE B, SALEM, MA 01970-3869
(978) 239-7065
Mailing address
PO BOX 2190, WEST PEABODY, MA 01960-7190
(781) 231-7026
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
Primary
3719
MA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
010866
HARVARD PILGRIM HEALTHCAR
MA
05
—
1895061
—
MA
01
—
LM0385
BCBS
MA
Enumeration date
04/10/2006
Last updated
07/08/2007
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