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Individual

MS. ANNE SPENGLER DEBOALT

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
LMHC,CCMHC

Contact information

Practice address
79 SHAKER ROAD, HARVARD, MA 04151
(978) 772-3968
(978) 371-2597
Mailing address
79 SHAKER ROAD, HARVARD, MA 01451
(978) 772-3968
(978) 371-2597

Taxonomy

Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
#83LMHC
MA
101YM0800X
Mental Health Counselor
#83#32529
MA
101YM0800X
Mental Health Counselor
83-CC
MA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
32529
NBCC, CCMHC
Enumeration date
01/06/2009
Last updated
05/25/2012
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