Doctor Name: | MS. JULIET D HARBAGE |
NPI Number: | 1174678601 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | LMHC, LMFT |
License Number: | 5174 |
Business Practice Address: | 8 Washington Pl Room 206 Braintree, MA - 021843258 |
Business Phone Number: | 6177632127 |
Business Fax Number: | |
Mailing Address: | 46 Essex Rd, MILTON |
State: | MA |
Postal Code: | 021861450 |
Phone Number: | |
Fax Number: | |
NPI Enumeration Date: | 01/24/2007 |
NPI Last Update Date: | 07/08/2007 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 101YM0800X |
License Number: | 5174 |
Healthcare Provider Taxonomy: (Secondary) | X |
State: | MA |
Taxonomy Type: | Behavioral Health & Social Service Providers |
Taxonomy Classification: | Counselor |
Taxonomy Specialization: | Mental Health |
Taxonomy Definition: |