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Liana Kim Van De Water
Counselor in Medford, Massachusetts
NPI 1437710084

Liana Kim Van De Water is a Counselor based in Medford, MA. Liana Kim Van De Water practices in Medford, MA. The NPI Number for Liana Kim Van De Water is 1437710084 and holds a License No. (Massachusetts).

The current practice location address for Liana Kim Van De Water is 100 George P Hassett Dr, Medford, MA and can be reached out via phone at 781-393-4828.

Location: 100 George P Hassett Dr, Medford, MA, 02155-3258
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1437710084
Provider Name
Liana Kim Van De Water
Credential
Provider Entity Type
Individual
Gender
Female
Address
100 George P Hassett Dr, Medford, MA, 02155-3258
Phone Number
781-393-4828
Fax Number
Provider Enumeration Date
06/25/2019
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
100 George P Hassett Dr
City
Medford
State
Massachusetts
Zip
02155-3258
Phone Number
781-393-4828
Fax Number
person
Provider Business Mailing Address Details
Address
100 George P Hassett Dr
City
Medford
State
Massachusetts
Zip
02155-3258
Phone Number
781-393-4828
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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