Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 101YM0800X | Mental Health Counselor | ||
Y | 103TH0100X | Health Service | 11715 | MA |
NPI | 1497124564 |
---|---|
Provider Name | Dr. Janelle Alabiso |
First Address | Andover, MA 01810-1497 |
Second Address | Andover, MA 01810-1492 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 18/09/2015 |
Last Update Date | 25/01/2022 |