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Mary Fallavollita
Mental Health Counselor in Danvers, Massachusetts
NPI 1932456613

Mary Fallavollita is a Mental Health Counselor based in West Newbury, MA and is specialized in Mental Health. Mary Fallavollita practices in Danvers, MA. The NPI Number for Mary Fallavollita is 1932456613 and holds a License No. 8102 (Massachusetts).

The current practice location address for Mary Fallavollita is 152 Sylvan St, Danvers, MA and can be reached out via phone at 978-774-6820 and via fax at 978-777-4242.

Location: 152 Sylvan St, Danvers, MA, 01985-1316
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1932456613
Provider Name
Mary Fallavollita
Credential
Provider Entity Type
Individual
Gender
Female
Address
152 Sylvan St, Danvers, MA, 01985-1316
Phone Number
978-774-6820
Fax Number
978-777-4242
Provider Enumeration Date
08/13/2012
Last Update Date
03/09/2024
institution
Provider Business Practice Location Address Details
Address
152 Sylvan St
City
Danvers
State
Massachusetts
Zip
01923-3558
Phone Number
978-774-6820
Fax Number
978-777-4242
person
Provider Business Mailing Address Details
Address
152 Sylvan St
City
Danvers
State
Massachusetts
Zip
01923-3558
Phone Number
978-774-6820
Fax Number
978-777-4242
person
Provider's Taxonomy Details 1
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
Mental Health
Taxonomy
101YM0800X
License No.
8102 (Massachusetts)
Definition
Definition to come...
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