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Alexandra Mango
Mental Health Counselor in Somerville, Massachusetts
NPI 1467973644

Alexandra Mango is a Mental Health Counselor based in Somerville, MA and is specialized in Mental Health. Alexandra Mango practices in Somerville, MA. The NPI Number for Alexandra Mango is 1467973644 and holds a License No. (Massachusetts).

The current practice location address for Alexandra Mango is 17 Innerbelt Rd, Somerville, MA and can be reached out via phone at 617-455-1916. You can also correspond with Alexandra Mango through the mailing address at 17 INNERBELT RD, SOMERVILLE, MA - 02143-4418 (mailing address contact number: ).

Location: 17 Innerbelt Rd, Somerville, MA, 02143-4418
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1467973644
Provider Name
Alexandra Mango
Credential
Provider Entity Type
Individual
Gender
Female
Address
17 Innerbelt Rd, Somerville, MA, 02143-4418
Phone Number
617-455-1916
Fax Number
Provider Enumeration Date
06/28/2017
Last Update Date
03/09/2024
institution
Provider Business Practice Location Address Details
Address
17 Innerbelt Rd
City
Somerville
State
Massachusetts
Zip
02143-4418
Phone Number
617-455-1916
Fax Number
person
Provider Business Mailing Address Details
Address
17 Innerbelt Rd
City
Somerville
State
Massachusetts
Zip
02143-4418
Phone Number
617-455-1916
Fax Number
person
Provider's Taxonomy Details 1
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
-
Taxonomy
101Y00000X
License No.
LMHC5000952 (Massachusetts)
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.
person
Provider's Taxonomy Details 2
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
Mental Health
Taxonomy
101YM0800X
License No.
()
Definition
Definition to come...
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