Individual
MS. CATHERINE M TSAROUHAS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LICSW CPSI CADAC II
Contact information
Practice address
ZERO GOVERNORS AVE, #20, MEDFORD, MA 02155
(781) 396-5575
Mailing address
PO BOX 791, MEDFORD, MA 02155
(781) 396-5575
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
—
MA
1041C0700X
Clinical Social Worker
Primary
1017992
MA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1891529
—
MA
Enumeration date
02/27/2007
Last updated
05/30/2013
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