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Susan D'antilio, LMHC
Mental Health Counselor in Beverly, Massachusetts
NPI 1306485743

Susan D'antilio is a Mental Health Counselor based in Revere, MA and is specialized in Mental Health. Susan D'antilio practices in Beverly, MA and has the professional credentials of LMHC. The NPI Number for Susan D'antilio is 1306485743 and holds a License No. (Massachusetts).

The current practice location address for Susan D'antilio is 100 Cummings Ctr Ste 307E, Beverly, MA and can be reached out via phone at 978-922-2280 and via fax at 978-927-1758.

Location: 100 Cummings Ctr Ste 307E, Beverly, MA, 02151-1560
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1306485743
Provider Name
Susan D'antilio
Credential
LMHC
Provider Entity Type
Individual
Gender
Female
Address
100 Cummings Ctr Ste 307E, Beverly, MA, 02151-1560
Phone Number
978-922-2280
Fax Number
978-927-1758
Provider Enumeration Date
01/02/2020
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
100 Cummings Ctr Ste 307E
City
Beverly
State
Massachusetts
Zip
01915-6107
Phone Number
978-922-2280
Fax Number
978-927-1758
person
Provider Business Mailing Address Details
Address
100 Cummings Ctr Ste 307E
City
Beverly
State
Massachusetts
Zip
01915-6107
Phone Number
978-922-2280
Fax Number
978-927-1758
person
Provider's Taxonomy Details 1
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
Mental Health
Taxonomy
101YM0800X
License No.
LMHC10000026 (Massachusetts)
Definition
Definition to come...
person
Provider's Taxonomy Details 2
Type
Student, Health Care
Classification
Student in an Organized Health Care Education/Training Program
Speciality
-
Taxonomy
390200000X
License No.
()
Definition
An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.
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