person
Mark A Deyab, LICSW
Mental Health Counselor in Waltham, Massachusetts
NPI 1104907732

Mark A Deyab is a Mental Health Counselor based in Medford, MA and is specialized in Mental Health. Mark A Deyab practices in Waltham, MA and has the professional credentials of LICSW. The NPI Number for Mark A Deyab is 1104907732 and holds a License No. 111824 (Massachusetts).

The current practice location address for Mark A Deyab is 20 Hope Ave, Waltham, MA and can be reached out via phone at 781-799-3949 and via fax at 781-899-6386. You can also correspond with Mark A Deyab through the mailing address at 34 WAREHAM ST, MEDFORD, MA - 02155-6222 (mailing address contact number: 781-799-3949).

Location: 20 Hope Ave, Waltham, MA, 02155-6222
person
Provider Profile Details
NPI Number
1104907732
Provider Name
Mark A Deyab
Credential
LICSW
Provider Entity Type
Individual
Gender
Male
Address
20 Hope Ave, Waltham, MA, 02155-6222
Phone Number
781-799-3949
Fax Number
781-899-6386
Provider Enumeration Date
10/18/2006
Last Update Date
03/08/2024
institution
Provider Business Practice Location Address Details
Address
20 Hope Ave
City
State
Zip
02453-2721
Phone Number
781-799-3949
Fax Number
781-899-6386
person
Provider Business Mailing Address Details
Address
20 Hope Ave
City
State
Zip
02453-2721
Phone Number
781-799-3949
Fax Number
781-899-6386
person
Provider's Taxonomy Details 1
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
Mental Health
Taxonomy
License No.
111824 (Massachusetts)
Definition
Definition to come...
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