Individual
DEIRDRE MINICHIELLO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
123 LITTLEFIELD RD, STONEHAM, ME 04231-3143
(978) 886-6693
Mailing address
PO BOX 95, STONEHAM, ME 04231-0095
(978) 886-6693
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
7105
MA
101YP2500X
Professional Counselor
CC6728
ME
Other
Enumeration date
01/10/2023
Last updated
01/10/2023
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