Provider Demographics
NPI:1225436348
Name:WHELAN, ANN MARIE (LMHC)
Entity Type:Individual
Prefix:MS
First Name:ANN
Middle Name:MARIE
Last Name:WHELAN
Suffix:
Gender:F
Credentials:LMHC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:109 MELROSE ST
Mailing Address - Street 2:
Mailing Address - City:ARLINGTON
Mailing Address - State:MA
Mailing Address - Zip Code:02474-8535
Mailing Address - Country:US
Mailing Address - Phone:617-233-9877
Mailing Address - Fax:
Practice Address - Street 1:50 OAKLAND ST
Practice Address - Street 2:
Practice Address - City:WELLESLEY HILLS
Practice Address - State:MA
Practice Address - Zip Code:02481-5307
Practice Address - Country:US
Practice Address - Phone:617-233-9877
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2014-12-06
Last Update Date:2014-12-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MA5596101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health