Provider Demographics
NPI:1780741736
Name:SEUNARINE, IMANI ZARA (LMHC)
Entity type:Individual
Prefix:
First Name:IMANI
Middle Name:ZARA
Last Name:SEUNARINE
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 1:13 TEMPLE ST
Mailing Address - Street 2:2ND FLOOR
Mailing Address - City:QUINCY
Mailing Address - State:MA
Mailing Address - Zip Code:02169-5110
Mailing Address - Country:US
Mailing Address - Phone:617-471-8400
Mailing Address - Fax:617-845-9255
Practice Address - Street 1:13 TEMPLE ST
Practice Address - Street 2:2ND FLOOR
Practice Address - City:QUINCY
Practice Address - State:MA
Practice Address - Zip Code:02169-5110
Practice Address - Country:US
Practice Address - Phone:617-471-8400
Practice Address - Fax:617-845-9255
Is Sole Proprietor?:No
Enumeration Date:2007-01-02
Last Update Date:2012-03-12
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
MA7016101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health