Provider Demographics
NPI:1366648446
Name:KULAKOWSKI, ANNE MCCAULEY (LMHC)
Entity Type:Individual
Prefix:
First Name:ANNE
Middle Name:MCCAULEY
Last Name:KULAKOWSKI
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 1:11 PROSPECT ST
Mailing Address - Street 2:
Mailing Address - City:PRINCETON
Mailing Address - State:MA
Mailing Address - Zip Code:01541-1102
Mailing Address - Country:US
Mailing Address - Phone:303-819-6863
Mailing Address - Fax:
Practice Address - Street 1:11 PROSPECT ST
Practice Address - Street 2:
Practice Address - City:PRINCETON
Practice Address - State:MA
Practice Address - Zip Code:01541-1102
Practice Address - Country:US
Practice Address - Phone:303-819-6863
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2007-06-25
Last Update Date:2020-08-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health
No225X00000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersOccupational Therapist