Provider Demographics
NPI:1083273262
Name:PICARIELLO, KALI CRISTINA (BA)
Entity Type:Individual
Prefix:
First Name:KALI
Middle Name:CRISTINA
Last Name:PICARIELLO
Suffix:
Gender:F
Credentials:BA
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:19 BROAD ST
Mailing Address - Street 2:
Mailing Address - City:MERRIMAC
Mailing Address - State:MA
Mailing Address - Zip Code:01860-2300
Mailing Address - Country:US
Mailing Address - Phone:978-270-6936
Mailing Address - Fax:
Practice Address - Street 1:19 BROAD ST
Practice Address - Street 2:
Practice Address - City:MERRIMAC
Practice Address - State:MA
Practice Address - Zip Code:01860-2300
Practice Address - Country:US
Practice Address - Phone:978-270-6936
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2019-06-11
Last Update Date:2019-06-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes101YA0400XBehavioral Health & Social Service ProvidersCounselorAddiction (Substance Use Disorder)Group - Single Specialty