Provider Demographics
NPI:1285850107
Name:JUAREZ ESPINOZA, CECILIA E (MA)
Entity Type:Individual
Prefix:
First Name:CECILIA
Middle Name:E
Last Name:JUAREZ ESPINOZA
Suffix:
Gender:F
Credentials:MA
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:145 LEXINGTON ST
Mailing Address - Street 2:# 31
Mailing Address - City:AUBURNDALE
Mailing Address - State:MA
Mailing Address - Zip Code:02466-1357
Mailing Address - Country:US
Mailing Address - Phone:617-775-5815
Mailing Address - Fax:
Practice Address - Street 1:1601 WASHINGTON ST
Practice Address - Street 2:
Practice Address - City:BOSTON
Practice Address - State:MA
Practice Address - Zip Code:02118-1951
Practice Address - Country:US
Practice Address - Phone:617-425-2000
Practice Address - Fax:617-425-2043
Is Sole Proprietor?:Yes
Enumeration Date:2007-04-18
Last Update Date:2014-11-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health