Individual
MARY MAYO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
3086 CRANBERRY HWY, HABIT OPCO; ATTN: M.MAYO, CLINICIAN, EAST WAREHAM, MA 02538-4801
(508) 295-7990
(508) 295-3781
Mailing address
3086 CRANBERRY HWY, HABIT OPCO; ATTN: M.MAYO, CLINICIAN, EAST WAREHAM, MA 02538-4801
(508) 295-7990
(508) 295-3781
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
—
—
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
—
—
101YM0800X
Mental Health Counselor
—
—
101YP1600X
Pastoral Counselor
—
—
101YP2500X
Professional Counselor
—
—
102L00000X
Psychoanalyst
—
—
106H00000X
Marriage & Family Therapist
—
—
Other
Enumeration date
08/22/2011
Last updated
01/16/2013
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