| Kristina M. Donahue, Licsw, Llc | |
|
226 Lowell St Ste B7 Wilmington MA 01887-3073 | |
| (978) 307-4500 | |
| Not Available |
| Full Name | Kristina M. Donahue, Licsw, Llc |
|---|---|
| Speciality | Clinic/center - Adolescent And Children Mental Health |
| Location | 226 Lowell St Ste B7, Wilmington, Massachusetts |
| Authorized Official Name and Position | Kristina M Donahue (CLINICAL SOCIAL WORKER) |
| Authorized Official Contact | 9783074500 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Kristina M. Donahue, Licsw, Llc 226 Lowell St Ste B7 Wilmington MA 01887-3073 Ph: () - | Kristina M. Donahue, Licsw, Llc 226 Lowell St Ste B7 Wilmington MA 01887-3073 Ph: (978) 307-4500 |
| NPI Number | 1700475381 |
|---|---|
| Provider Enumeration Date | 01/18/2021 |
| Last Update Date | 01/18/2021 |
| Certification Date | 01/17/2021 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1700475381 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QM0850X | Clinic/center - Adult Mental Health | (* (Not Available)) | Secondary |
| 261QM0855X | Clinic/center - Adolescent And Children Mental Health | (* (Not Available)) | Primary |
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