Provider Demographics
NPI:1578848263
Name:DRUMHELLER, MONIQUE M (MA, LCSW)
Entity Type:Individual
Prefix:MS
First Name:MONIQUE
Middle Name:M
Last Name:DRUMHELLER
Suffix:
Gender:F
Credentials:MA, LCSW
Other - Prefix:
Other - First Name:
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Other - Credentials:
Mailing Address - Street 1:3 CLINTON RD
Mailing Address - Street 2:
Mailing Address - City:PEABODY
Mailing Address - State:MA
Mailing Address - Zip Code:01960-2109
Mailing Address - Country:US
Mailing Address - Phone:978-979-8088
Mailing Address - Fax:978-535-0230
Practice Address - Street 1:3 CLINTON RD
Practice Address - Street 2:
Practice Address - City:PEABODY
Practice Address - State:MA
Practice Address - Zip Code:01960-2109
Practice Address - Country:US
Practice Address - Phone:978-979-8088
Practice Address - Fax:978-535-0230
Is Sole Proprietor?:Yes
Enumeration Date:2011-10-13
Last Update Date:2012-11-11
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
MA217438104100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes104100000XBehavioral Health & Social Service ProvidersSocial Worker