Provider Demographics
NPI:1770717647
Name:MCCARTHY-CHAPDELAINE, KARA M (MED, CAGS)
Entity type:Individual
Prefix:MRS
First Name:KARA
Middle Name:M
Last Name:MCCARTHY-CHAPDELAINE
Suffix:
Gender:F
Credentials:MED, CAGS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:5 HOCKANUM RD
Mailing Address - Street 2:
Mailing Address - City:HADLEY
Mailing Address - State:MA
Mailing Address - Zip Code:01035-9722
Mailing Address - Country:US
Mailing Address - Phone:413-584-2625
Mailing Address - Fax:413-584-2625
Practice Address - Street 1:245 RUSSELL ST
Practice Address - Street 2:
Practice Address - City:HADLEY
Practice Address - State:MA
Practice Address - Zip Code:01035-9529
Practice Address - Country:US
Practice Address - Phone:413-586-8485
Practice Address - Fax:413-586-8485
Is Sole Proprietor?:No
Enumeration Date:2009-05-07
Last Update Date:2009-05-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MA000007001101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health