Organization
HEARTFULLY MINDFUL COUNSELING LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
CECILIA FERNANDEZ-HALL PHD (MANAGER)
(978) 252-3441
Entity
Organization
Contact information
Practice address
805 TURNPIKE ST STE 201, NORTH ANDOVER, MA 01845-6122
(978) 252-3441
(978) 252-3450
Mailing address
805 TURNPIKE ST STE 201, NORTH ANDOVER, MA 01845-6122
(978) 252-3441
(978) 252-3450
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
7961
MA LICENSE
MA
Enumeration date
12/22/2022
Last updated
05/06/2024
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