Mary C Chao, LMHC
Individual provider Active NPI Mental Health Counselor · Gloucester, MA
NPI 1780928622 · NPPES record last updated Jan 31, 2018
Key facts
- NPI
- 1780928622
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Mental Health Counselor 101YM0800X
- License
- 9657 (MA)
- Practice address
- 3 Blackburn Center
Gloucester, MA 01930 - Phone
- (978) 559-4313
- Fax
- (978) 281-7793
- NPI assigned
- Nov 15, 2012
- Sex
- Female
- Sole proprietor
- No
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 9657 | MA | MD | Speech-Language Pathologist |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Mental Health Counselor | 101YM0800X | 9657 | MA | Yes |
Addresses
Primary practice location
3 Blackburn Center
Gloucester, MA 01930
Mailing address
3 Blackburn Center
Gloucester, MA 01930
Phone (978) 559-4313
Other providers in Gloucester, MA
- Jazzlyn Mae Casula
- Barbara E Cavanaugh
- Susan Franklin Cecilio
- Judith Ceglarski
- Nathalie Marie-Carmen Celestin
- Jonathan Chapin
- Kyle Avery Chear
- Xiyan Chen
- Rebecca Chernek
- Scotadam Judah Chernov
All providers in Gloucester, MA · Mental Health Counselor in Massachusetts
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jan 31, 2018. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.