Provider Demographics
NPI:1568474385
Name:TERRIEN, BRETT PHILLIP (LMHC)
Entity Type:Individual
Prefix:
First Name:BRETT
Middle Name:PHILLIP
Last Name:TERRIEN
Suffix:
Gender:M
Credentials:LMHC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:59 TEMPLE PL
Mailing Address - Street 2:SUITE 300
Mailing Address - City:BOSTON
Mailing Address - State:MA
Mailing Address - Zip Code:02111-1307
Mailing Address - Country:US
Mailing Address - Phone:617-470-5404
Mailing Address - Fax:617-728-4801
Practice Address - Street 1:59 TEMPLE PL
Practice Address - Street 2:SUITE 300
Practice Address - City:BOSTON
Practice Address - State:MA
Practice Address - Zip Code:02111-1307
Practice Address - Country:US
Practice Address - Phone:617-470-5404
Practice Address - Fax:617-728-4801
Is Sole Proprietor?:Yes
Enumeration Date:2006-08-12
Last Update Date:2011-06-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MAMH000005302CC101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health