Provider Demographics
NPI:1417591033
Name:LOUGHLIN, CAROLINE (LMHC)
Entity Type:Individual
Prefix:
First Name:CAROLINE
Middle Name:
Last Name:LOUGHLIN
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 1:49 S PINE ST
Mailing Address - Street 2:
Mailing Address - City:HAVERHILL
Mailing Address - State:MA
Mailing Address - Zip Code:01835-7436
Mailing Address - Country:US
Mailing Address - Phone:617-953-5208
Mailing Address - Fax:
Practice Address - Street 1:57 WINGATE ST FL 4
Practice Address - Street 2:
Practice Address - City:HAVERHILL
Practice Address - State:MA
Practice Address - Zip Code:01832-5759
Practice Address - Country:US
Practice Address - Phone:978-241-4908
Practice Address - Fax:978-241-4686
Is Sole Proprietor?:No
Enumeration Date:2019-11-06
Last Update Date:2019-11-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MA10766101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health