Individual
ALYSSA QUANN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
151 MYSTIC AVE, MEDFORD, MA 02155-4632
(781) 396-1199
Mailing address
577 ADAMS ST UNIT D, MILTON, MA 02186-5636
(774) 201-9931
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
LMHC5000828
MA
Other
Enumeration date
01/09/2017
Last updated
04/20/2023
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