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Courtney Ann Formicola, MA,MPSY
Mental Health Counselor in Quincy, Massachusetts
NPI 1417448481

Courtney Ann Formicola is a Mental Health Counselor based in Washington, MA and is specialized in Mental Health. Courtney Ann Formicola practices in Quincy, MA and has the professional credentials of MA,MPSY. The NPI Number for Courtney Ann Formicola is 1417448481 and holds a License No. (Massachusetts).

The current practice location address for Courtney Ann Formicola is 859 Willard St, Quincy, MA and can be reached out via phone at 914-384-0915.

Location: 859 Willard St, Quincy, MA, 20009-3155
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1417448481
Provider Name
Courtney Ann Formicola
Credential
MA,MPSY
Provider Entity Type
Individual
Gender
Female
Address
859 Willard St, Quincy, MA, 20009-3155
Phone Number
914-384-0915
Fax Number
Provider Enumeration Date
05/24/2018
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
859 Willard St
City
Quincy
State
Massachusetts
Zip
02169-7482
Phone Number
914-384-0915
Fax Number
person
Provider Business Mailing Address Details
Address
859 Willard St
City
Quincy
State
Massachusetts
Zip
02169-7482
Phone Number
914-384-0915
Fax Number
person
Provider's Taxonomy Details 1
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
Mental Health
Taxonomy
101YM0800X
License No.
()
Definition
Definition to come...
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