Individual
ANNE NICOLAS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
1613 BLUE HILL AVE STE 302, MATTAPAN, MA 02126
(857) 598-4774
(857) 598-4816
Mailing address
1613 BLUE HILL AVE STE 302, MATTAPAN, MA 02126-2114
(857) 598-4774
(857) 598-4816
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
—
MA
Other
Enumeration date
05/13/2016
Last updated
05/13/2016
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