Doctor Name: | MS. MARY HELEN MICHETTI |
NPI Number: | 1346437993 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | LMHC |
License Number: | 6346 |
Business Practice Address: | 8 Pinetree Rd Nantucket, MA - 025542826 |
Business Phone Number: | 5082210892 |
Business Fax Number: | |
Mailing Address: | Po Box 305, NANTUCKET |
State: | MA |
Postal Code: | 025540305 |
Phone Number: | 5082210892 |
Fax Number: | |
NPI Enumeration Date: | 09/27/2007 |
NPI Last Update Date: | 09/27/2007 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 101YM0800X |
License Number: | 6346 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | MA |
Taxonomy Type: | Behavioral Health & Social Service Providers |
Taxonomy Classification: | Counselor |
Taxonomy Specialization: | Mental Health |
Taxonomy Definition: |