Active NPIIndividual providerSole proprietor

Kathryn E Fackina, MA

Counselor, Mental Health in South Boston, Massachusetts

NPI Number1417462169
Practice location
210 Old Colony Ave, South Boston, MA 02127-2413
Fax
—
Last updated
December 4, 2017

Kathryn Elizabeth Fackina is a Counselor, Mental Health based in South Boston, MA. Kathryn Elizabeth Fackina practices in South Boston, MA and has the professional credentials of MA. The NPI Number for Kathryn Elizabeth Fackina is 1417462169. The current practice location address for Kathryn Elizabeth Fackina is 210 Old Colony Ave, South Boston, MA 02127-2413 and can be reached out via phone at 617-268-5000.

Provider Profile Details

NPI Number
1417462169
Provider Name
Kathryn Elizabeth Fackina
Credential
MA
Provider Entity Type
Individual
Gender
Female
Address
210 Old Colony Ave, South Boston, MA 02127-2413
Phone Number
617-268-5000
Primary Taxonomy
Counselor, Mental Health · 101YM0800X
Sole Proprietor
Yes
Provider Enumeration Date
December 4, 2017
Last Update Date
December 4, 2017
NPI Status
Active

Provider Business Practice Location Address Details

Address
210 Old Colony Ave
South Boston, MA 02127-2413
Zip
02127-2413
Phone Number
617-268-5000
South Boston, MA 02127Get directions →

Provider Business Mailing Address Details

Address
210 Old Colony Ave
South Boston, MA 02127-2413
City
South Boston
State
MA
Zip
02127-2413
Phone Number
617-268-5000

License Information

Taxonomy
Counselor, Mental Health · 101YM0800X · Primary

Legacy Identifiers

IdentifierTypeStateIssuer
No legacy identifiers (Medicaid, Medicare or plan IDs) are on file for this provider.

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Frequently Asked Questions

What is the NPI number of Kathryn E Fackina, MA?

The NPI number of Kathryn E Fackina, MA is 1417462169. It was assigned on December 4, 2017 and is currently active in the NPPES registry.

What is the specialty of Kathryn E Fackina, MA?

Kathryn E Fackina, MA is registered under the primary taxonomy Counselor, Mental Health (code 101YM0800X).

Where does Kathryn E Fackina, MA practice?

The practice location is 210 Old Colony Ave, South Boston, MA 02127-2413. The office can be reached at 617-268-5000 (phone).

What is an NPI number?

A National Provider Identifier (NPI) is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). It is used in HIPAA standard transactions.

How do I verify this NPI record?

This record is sourced from the public NPPES NPI Registry maintained by CMS. You can confirm it by searching NPI 1417462169 directly on the NPPES registry website.

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