Provider Demographics
NPI:1942736616
Name:KAMERZEL, LAUREN (LMHC)
Entity Type:Individual
Prefix:
First Name:LAUREN
Middle Name:
Last Name:KAMERZEL
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 1:396 APPLETON ST
Mailing Address - Street 2:
Mailing Address - City:ARLINGTON
Mailing Address - State:MA
Mailing Address - Zip Code:02476-7048
Mailing Address - Country:US
Mailing Address - Phone:203-592-2668
Mailing Address - Fax:
Practice Address - Street 1:51 KONDAZIAN ST
Practice Address - Street 2:
Practice Address - City:WATERTOWN
Practice Address - State:MA
Practice Address - Zip Code:02472-2830
Practice Address - Country:US
Practice Address - Phone:617-924-1285
Practice Address - Fax:617-661-0341
Is Sole Proprietor?:Yes
Enumeration Date:2017-05-02
Last Update Date:2017-05-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MA7204101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health