Provider Demographics
NPI:1942378013
Name:COMIN, KATHLEEN C (LMHC)
Entity Type:Individual
Prefix:MRS
First Name:KATHLEEN
Middle Name:C
Last Name:COMIN
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 1:8 FARNHAM ST
Mailing Address - Street 2:
Mailing Address - City:BOSTON
Mailing Address - State:MA
Mailing Address - Zip Code:02119-2908
Mailing Address - Country:US
Mailing Address - Phone:617-971-9370
Mailing Address - Fax:617-971-9366
Practice Address - Street 1:8 FARNHAM ST
Practice Address - Street 2:
Practice Address - City:BOSTON
Practice Address - State:MA
Practice Address - Zip Code:02119-2908
Practice Address - Country:US
Practice Address - Phone:617-971-9370
Practice Address - Fax:617-971-9366
Is Sole Proprietor?:No
Enumeration Date:2006-11-30
Last Update Date:2012-06-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MA6795101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health