Individual
ANA CARMONA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LMHC
Contact information
Practice address
77 RUMFORD AVE, WALTHAM, MA 02453-3872
(781) 894-4307
Mailing address
77 RUMFORD AVE, WALTHAM, MA 02453-3872
(781) 894-4307
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
11339
LMHC
MA
Enumeration date
11/14/2014
Last updated
09/13/2022
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