| Josephine Madonna, Lmhc, Llc. | |
|
51 Alvern Rd Pembroke MA 02359-3453 | |
| (508) 245-6069 | |
| Not Available |
| Full Name | Josephine Madonna, Lmhc, Llc. |
|---|---|
| Speciality | Community/behavioral Health |
| Location | 51 Alvern Rd, Pembroke, Massachusetts |
| Authorized Official Name and Position | Josephine Madonna (OWNER) |
| Authorized Official Contact | 5082456069 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Josephine Madonna, Lmhc, Llc. 51 Alvern Rd Pembroke MA 02359-3453 Ph: (508) 245-6069 | Josephine Madonna, Lmhc, Llc. 51 Alvern Rd Pembroke MA 02359-3453 Ph: (508) 245-6069 |
| NPI Number | 1376131789 |
|---|---|
| Provider Enumeration Date | 01/02/2021 |
| Last Update Date | 01/02/2021 |
| Certification Date | 01/02/2021 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1376131789 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 251S00000X | Community/behavioral Health | (* (Not Available)) | Primary |
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