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Individual

CATHERINE ROSE HENNESSY

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
LMHC

Contact information

Practice address
142 CANAL ST STE 142P, SALEM, MA 01970-4673
(978) 209-8823
Mailing address
142 CANAL ST STE 142P, SALEM, MA 01970-4673
(978) 209-8823

Taxonomy

Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
MA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
0000023532
BMC
MA
01
042611055
TAX ID
MA
01
1004745
FALLON
MA
01
1004745
NHP
01
1303287
MBHP
MA
01
99618201
NETWORK HEALTH
MA
01
M18633
BCBS
MA
Enumeration date
10/01/2019
Last updated
08/01/2023
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