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Mr. Russell Viveiros, MHC,LM&FT,LADAC
Counselor in Tewksbury, Massachusetts
NPI 1821136656

Russell Viveiros is a Counselor based in Tewksbury, MA. Russell Viveiros practices in Tewksbury, MA and has the professional credentials of MHC,LM&FT,LADAC. The NPI Number for Russell Viveiros is 1821136656 and holds a License No. 0280 (Massachusetts).

The current practice location address for Russell Viveiros is 1501 Main St, Tewksbury, MA and can be reached out via phone at 978-851-0180 and via fax at 978-851-8621.

Location: 1501 Main St, Tewksbury, MA, 01876-4725
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1821136656
Provider Name
Russell Viveiros
Credential
MHC,LM&FT,LADAC
Provider Entity Type
Individual
Gender
Male
Address
1501 Main St, Tewksbury, MA, 01876-4725
Phone Number
978-851-0180
Fax Number
978-851-8621
Provider Enumeration Date
02/02/2007
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
273 01 MA ADDICTIONS COUNSELOR
328 01 MA MFT
557 01 MA MENTAL HEALTH COUNSELOR
204025 01 MA SOCIAL WORKER
institution
Provider Business Practice Location Address Details
Address
1501 Main St
City
Tewksbury
State
Massachusetts
Zip
01876-4725
Phone Number
978-851-0180
Fax Number
978-851-8621
person
Provider Business Mailing Address Details
Address
1501 Main St
City
Tewksbury
State
Massachusetts
Zip
01876-4725
Phone Number
978-851-0180
Fax Number
978-851-8621
person
Provider's Taxonomy Details 1
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
-
Taxonomy
101Y00000X
License No.
0280 (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.
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