Individual
MR. JOHN D MENARD
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
LMHC
Contact information
Practice address
89 MAIN ST STE 2, WARE, MA 01082-1482
(413) 297-6968
(413) 297-6968
Mailing address
89 WARD ST, APT 2, WORCESTER, MA 01610
(508) 754-2923
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
4914
MA
103TC1900X
Counseling Psychologist
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1740245315
LMHC
MA
Enumeration date
04/18/2006
Last updated
12/06/2019
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