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Streettherapy,llc
Mental Health Counselor in Lexington, Massachusetts
NPI 1972149300

Streettherapy,llc is a Mental Health Counselor based in Medford, MA and is specialized in Mental Health. Streettherapy,llc practices in Lexington, MA. The NPI Number for Streettherapy,llc is 1972149300 and holds a License No. (Massachusetts).

The current practice location address for Streettherapy,llc is Triad Adolescent Services, Lexington, MA and can be reached out via phone at 617-855-2742.

Location: Triad Adolescent Services, Lexington, MA, 02155-2235
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
institution
Provider Profile Details
NPI Number
1972149300
Provider Name
Streettherapy,llc
Credential
Provider Entity Type
Organization
Address
Triad Adolescent Services, Lexington, MA, 02155-2235
Phone Number
617-855-2742
Fax Number
Provider Enumeration Date
11/20/2019
Last Update Date
03/10/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
1376752345 01 MA MCLEAN HOSPITAL
institution
Provider Business Practice Location Address Details
Address
Triad Adolescent Services
City
Lexington
State
Massachusetts
Zip
02421
Phone Number
617-855-2742
Fax Number
person
Provider Business Mailing Address Details
Address
Triad Adolescent Services
City
Lexington
State
Massachusetts
Zip
02421
Phone Number
617-855-2742
Fax Number
person
Provider's Taxonomy Details 1
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
Mental Health
Taxonomy
101YM0800X
License No.
()
Definition
Definition to come...
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