Provider Demographics
NPI:1073041117
Name:FRANCISCO, DARITZA ADRIANA (MSED)
Entity Type:Individual
Prefix:
First Name:DARITZA
Middle Name:ADRIANA
Last Name:FRANCISCO
Suffix:
Gender:F
Credentials:MSED
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:27 JACKSON ST APT 405
Mailing Address - Street 2:
Mailing Address - City:LOWELL
Mailing Address - State:MA
Mailing Address - Zip Code:01852-2144
Mailing Address - Country:US
Mailing Address - Phone:978-701-2802
Mailing Address - Fax:
Practice Address - Street 1:360 MERRIMACK ST STE 5
Practice Address - Street 2:
Practice Address - City:LAWRENCE
Practice Address - State:MA
Practice Address - Zip Code:01843-1740
Practice Address - Country:US
Practice Address - Phone:978-701-2802
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2017-06-02
Last Update Date:2019-08-21
Deactivation Date:2017-12-05
Deactivation Code:
Reactivation Date:2019-08-21
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health