Provider Demographics
NPI:1174684641
Name:MORIN, JAMES R (LMHC)
Entity Type:Individual
Prefix:
First Name:JAMES
Middle Name:R
Last Name:MORIN
Suffix:
Gender:M
Credentials:LMHC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1 W WATER ST STE 201
Mailing Address - Street 2:
Mailing Address - City:WAKEFIELD
Mailing Address - State:MA
Mailing Address - Zip Code:01880-2930
Mailing Address - Country:US
Mailing Address - Phone:339-203-0450
Mailing Address - Fax:815-872-7897
Practice Address - Street 1:1 W WATER ST STE 201
Practice Address - Street 2:
Practice Address - City:WAKEFIELD
Practice Address - State:MA
Practice Address - Zip Code:01880-2930
Practice Address - Country:US
Practice Address - Phone:339-203-0450
Practice Address - Fax:781-587-2789
Is Sole Proprietor?:Yes
Enumeration Date:2006-12-12
Last Update Date:2020-08-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MA6059101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health