Joan Bender

Individual provider Active NPI Mental Health Counselor · Westwood, MA

NPI 1972995249 · NPPES record last updated Feb 24, 2015

Key facts

NPI
1972995249
Entity type
Individual (NPI type 1)
Primary specialty
Mental Health Counselor 101YM0800X
License
10967 (NY)
Practice address
789 Clapboardtree St
Westwood, MA 02090-1717
Phone
(917) 863-0230
NPI assigned
Feb 24, 2015
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

State licenses

LicenseStateTypeSpecialty
10967NYMDMental Health Counselor

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Counselor 101YM0800X 10967 NY Yes

Addresses

Primary practice location

789 Clapboardtree St
Westwood, MA 02090-1717

Mailing address

PO Box 541482
Waltham, MA 02454-1482
Phone (917) 863-0230

Other providers in Westwood, MA

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

Sources for this page

Verify at the official NPI Registry.