Individual
MS. CARISSA LYNNE MEDEIROS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.A.
Contact information
Practice address
155 BILLINGS RD # 2, QUINCY, MA 02171-2345
(508) 789-4642
Mailing address
155 BILLINGS RD # 2, QUINCY, MA 02171-2345
(508) 789-4642
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
—
—
Other
Enumeration date
01/05/2007
Last updated
07/08/2007
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