Provider Demographics
NPI:1205610896
Name:DANIELS, CRISTINA (BA, MS)
Entity type:Individual
Prefix:
First Name:CRISTINA
Middle Name:
Last Name:DANIELS
Suffix:
Gender:F
Credentials:BA, MS
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Other - First Name:
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Other - Last Name:
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Mailing Address - Street 1:41 BURLINGTON MALL ROAD
Mailing Address - Street 2:
Mailing Address - City:BURLINGTON
Mailing Address - State:MA
Mailing Address - Zip Code:01805-0001
Mailing Address - Country:US
Mailing Address - Phone:781-744-8013
Mailing Address - Fax:781-744-5324
Practice Address - Street 1:41 BURLINGTON MALL ROAD
Practice Address - Street 2:
Practice Address - City:BURLINGTON
Practice Address - State:MA
Practice Address - Zip Code:01805-0001
Practice Address - Country:US
Practice Address - Phone:781-744-8013
Practice Address - Fax:781-744-5324
Is Sole Proprietor?:No
Enumeration Date:2023-08-23
Last Update Date:2023-11-13
Deactivation Date:
Deactivation Code:
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Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health