Individual
BOBBI FANDEL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
22 OLD CANAL DR, LOWELL, MA 01851-2730
(617) 913-5854
Mailing address
22 OLD CANAL DR, LOWELL, MA 01851-2730
(617) 913-5854
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
—
MA
106S00000X
Behavior Technician
Primary
—
—
Other
Enumeration date
09/08/2021
Last updated
05/26/2026
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