Individual
MS. BEATRICE PACHECO MEDEIROS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LMHC
Contact information
Practice address
386 STANLEY ST, FALL RIVER, MA 02720-6009
(508) 679-5222
(508) 673-3182
Mailing address
268 DUNBAR ST, FALL RIVER, MA 02723-3605
(508) 679-5222
(508) 673-3182
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
5371
MA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1306685
—
MA
01
—
STA2223014140
BC/BS
MA
Enumeration date
08/13/2006
Last updated
07/09/2007
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