Provider Demographics
NPI:1184886020
Name:HOWARD, MARIAN (LMHC, CADAC,)
Entity type:Individual
Prefix:
First Name:MARIAN
Middle Name:
Last Name:HOWARD
Suffix:
Gender:F
Credentials:LMHC, CADAC,
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:69 ADAMS ST
Mailing Address - Street 2:
Mailing Address - City:HOLBROOK
Mailing Address - State:MA
Mailing Address - Zip Code:02343-1403
Mailing Address - Country:US
Mailing Address - Phone:339-987-0929
Mailing Address - Fax:781-986-5021
Practice Address - Street 1:69 ADAMS ST
Practice Address - Street 2:
Practice Address - City:HOLBROOK
Practice Address - State:MA
Practice Address - Zip Code:02343-1403
Practice Address - Country:US
Practice Address - Phone:339-987-0929
Practice Address - Fax:781-986-5021
Is Sole Proprietor?:Yes
Enumeration Date:2008-07-01
Last Update Date:2009-06-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MA5710101YM0800X
MACADAC#1220AD101YA0400X
FLCAP#3165101YA0400X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health
No101YA0400XBehavioral Health & Social Service ProvidersCounselorAddiction (Substance Use Disorder)