Provider Demographics
NPI:1356477210
Name:TUNNEY, COLLEEN G (MS LMHC)
Entity Type:Individual
Prefix:MRS
First Name:COLLEEN
Middle Name:G
Last Name:TUNNEY
Suffix:
Gender:F
Credentials:MS LMHC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:9 OLDE PARISH LN
Mailing Address - Street 2:
Mailing Address - City:STERLING
Mailing Address - State:MA
Mailing Address - Zip Code:01564-2142
Mailing Address - Country:US
Mailing Address - Phone:508-886-0354
Mailing Address - Fax:
Practice Address - Street 1:60 MILES ROAD
Practice Address - Street 2:DEVEREUX
Practice Address - City:RUTLAND
Practice Address - State:MA
Practice Address - Zip Code:01543
Practice Address - Country:US
Practice Address - Phone:508-886-4746
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2007-02-26
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MA5866101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health