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Ellen Grace Reagan
Counselor in Boston, Massachusetts
NPI 1174099931

Ellen Grace Reagan is a Counselor based in Boston, MA. Ellen Grace Reagan practices in Boston, MA. The NPI Number for Ellen Grace Reagan is 1174099931 and holds a License No. (Massachusetts).

The current practice location address for Ellen Grace Reagan is 75 Fenwood Rd Fl 5, Boston, MA and can be reached out via phone at 339-206-0088.

Location: 75 Fenwood Rd Fl 5, Boston, MA, 02115-6103
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1174099931
Provider Name
Ellen Grace Reagan
Credential
Provider Entity Type
Individual
Gender
Female
Address
75 Fenwood Rd Fl 5, Boston, MA, 02115-6103
Phone Number
339-206-0088
Fax Number
Provider Enumeration Date
10/19/2018
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
75 Fenwood Rd Fl 5
City
Boston
State
Massachusetts
Zip
02115-6103
Phone Number
339-206-0088
Fax Number
person
Provider Business Mailing Address Details
Address
75 Fenwood Rd Fl 5
City
Boston
State
Massachusetts
Zip
02115-6103
Phone Number
339-206-0088
Fax Number
person
Provider's Taxonomy Details 1
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
-
Taxonomy
101Y00000X
License No.
()
Definition
A provider who is trained and educated in the performance of behavior health services through interpersonal communications and analysis. Training and education at the specialty level usually requires a master's degree and clinical experience and supervision for licensure or certification.
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