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Individual

MS. JOAN CANCILLA

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
M.ED

Contact information

Practice address
35 A BRITTANY'S WAY, # U3, EASTHAM, MA 02642
(617) 791-3139
Mailing address
96 WIGWAM ST, WELLFLEET, MA 02667-8825
(617) 791-3139

Taxonomy

Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
LMHC 4488
MA
106H00000X
Marriage & Family Therapist
Primary
LMFT 1048
MA

Other

Enumeration date
10/25/2006
Last updated
09/11/2025
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