Melissa Ruth Basque, M.ED.

Individual provider Active NPI Mental Health Counselor · Salem, MA

NPI 1467712422 · NPPES record last updated Jun 27, 2012

Key facts

NPI
1467712422
Entity type
Individual (NPI type 1)
Primary specialty
Mental Health Counselor 101YM0800X
Practice address
27 Congress St Ste 105
Salem, MA 01970-5577
Phone
(978) 740-1533
NPI assigned
May 24, 2012
Sex
Female
Sole proprietor
Yes

Medicare participation

Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

Medicare enrollment (NPD)
No
Credentials
Master of Education

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Counselor 101YM0800X Yes

Addresses

Primary practice location

27 Congress St Ste 105
Salem, MA 01970-5577

Mailing address

33 Centre St
Danvers, MA 01923-1406
Phone (978) 750-6976

Other providers in Salem, MA

All providers in Salem, MA · Mental Health Counselor in Massachusetts

Sources for this page

Verify at the official NPI Registry.