MS. CARISSA LYNNE MEDEIROS M.A.
NPI 1811044365
Counselor - Mental Health in Quincy, MA
Active since January 05, 2007
About Ms. Carissa Lynne Medeiros M.a. NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
MS. CARISSA LYNNE MEDEIROS M.A. (NPI 1811044365) is an individual mental health provider in Quincy, Massachusetts and active in the NPI registry since January 2007.
NPPES Registry Identity
NPI1811044365
Entity TypeIndividualFemale
Primary Taxonomy101YM0800X
Provider Legal NameMS. CARISSA LYNNE MEDEIROSCredential: M.A.
Location Address155 BILLINGS RD # 2Quincy, MA 02171-2345
Mailing Address155 Billings Rd # 2Quincy, MA 02171-2345 · (508) 789-4642
Phone(508) 789-4642
Sole ProprietorNo
Enumeration DateJanuary 5, 2007
Last NPPES UpdateJuly 8, 2007
✔ NPI 1811044365 is a valid, active identifier and passes the ISO check-digit test.
Specialties & Licenses
★ Primary SpecialtyCounselor · Mental HealthBehavioral Health & Social Service Providers
Taxonomy Code101YM0800X
155 BILLINGS RD # 2, Quincy, MA 02171
Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1811044365, enumerated as an "individual" on January 05, 2007.
The provider is located at 155 BILLINGS RD # 2 QUINCY, MA 02171 and the phone number is (508) 789-4642.
Counselor with taxonomy code 101YM0800X and a focus in Mental Health.
