Individual
ADITI SUBRAMANIAM
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LMHC
Contact information
Practice address
75 BICKFORD ST, JAMAICA PLAIN, MA 02130-1401
(617) 919-7878
(617) 919-7293
Mailing address
75 BICKFORD ST, JAMAICA PLAIN, MA 02130-1401
(617) 919-7878
(617) 919-7293
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
8285
MA
225600000X
Dance Therapist
—
—
Other
Enumeration date
09/16/2010
Last updated
08/11/2014
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