Michelle K. Hennessy

NPI #1104313949 in Brockton, Massachusetts

Provider Information

NPI Number: 1104313949
Entity Type: Individual
Name: Michelle K. Hennessy
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Counselor
Enumeration Date: Apr 17, 2018
Last Updated: Feb 3, 2020

Practice Location

Address: 103 COMMERCIAL ST STE 2
City: Brockton
State: Massachusetts
ZIP Code: 02302-3133
Phone: (508) 580-4691

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Behavior Analyst	103K00000X
Counselor	101Y00000X	Primary

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