Provider Demographics
NPI:1801080809
Name:BENEDETTI, JOHN M (MS)
Entity type:Individual
Prefix:MR
First Name:JOHN
Middle Name:M
Last Name:BENEDETTI
Suffix:
Gender:M
Credentials:MS
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Mailing Address - Street 1:40 THORNDIKE ST
Mailing Address - Street 2:MIDDLESEX COMMUNITY COUNSELING CENTER
Mailing Address - City:CAMBRIDGE
Mailing Address - State:MA
Mailing Address - Zip Code:02141-1715
Mailing Address - Country:US
Mailing Address - Phone:
Mailing Address - Fax:
Practice Address - Street 1:40 THORNDIKE ST
Practice Address - Street 2:MIDDLESEX COMMUNITY COUNSELING CENTER
Practice Address - City:CAMBRIDGE
Practice Address - State:MA
Practice Address - Zip Code:02141-1715
Practice Address - Country:US
Practice Address - Phone:508-733-3927
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2007-09-02
Last Update Date:2007-09-02
Deactivation Date:
Deactivation Code:
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Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health