Provider Demographics
NPI:1851671481
Name:CLINTON, ANN MARIE (LMHC)
Entity Type:Individual
Prefix:
First Name:ANN MARIE
Middle Name:
Last Name:CLINTON
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 1:602 CABOT STREET
Mailing Address - Street 2:
Mailing Address - City:BEVERLY
Mailing Address - State:MA
Mailing Address - Zip Code:01915-5858
Mailing Address - Country:US
Mailing Address - Phone:781-820-1386
Mailing Address - Fax:
Practice Address - Street 1:602 CABOT STREET
Practice Address - Street 2:
Practice Address - City:BEVERLY
Practice Address - State:MA
Practice Address - Zip Code:01915-5858
Practice Address - Country:US
Practice Address - Phone:781-820-1386
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2011-08-26
Last Update Date:2017-01-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health