Lianne Clarke Debettencourt

Individual provider Active NPI Counselor · West Yarmouth, MA

NPI 1942733902 · NPPES record last updated Apr 6, 2017

Key facts

NPI
1942733902
Entity type
Individual (NPI type 1)
Primary specialty
Counselor 101Y00000X
Practice address
134 Ansel Hallet Rd
West Yarmouth, MA 02673-2582
Phone
(774) 470-2294
NPI assigned
Apr 6, 2017
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

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Counselor 101Y00000X Yes

Addresses

Primary practice location

134 Ansel Hallet Rd
West Yarmouth, MA 02673-2582

Mailing address

134 Ansel Hallet Rd
West Yarmouth, MA 02673-2582
Phone (774) 470-2294

Other providers in West Yarmouth, MA

All providers in West Yarmouth, MA · Counselor in Massachusetts

Sources for this page

Verify at the official NPI Registry.