Provider Demographics
NPI:1831188267
Name:RESCO, ANN TERESE (LMHC NCC CT)
Entity type:Individual
Prefix:MS
First Name:ANN
Middle Name:TERESE
Last Name:RESCO
Suffix:
Gender:F
Credentials:LMHC NCC CT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:399 NEPONSET ST
Mailing Address - Street 2:
Mailing Address - City:CANTON
Mailing Address - State:MA
Mailing Address - Zip Code:02021-1959
Mailing Address - Country:US
Mailing Address - Phone:781-828-3717
Mailing Address - Fax:
Practice Address - Street 1:399 NEPONSET ST
Practice Address - Street 2:
Practice Address - City:CANTON
Practice Address - State:MA
Practice Address - Zip Code:02021-1959
Practice Address - Country:US
Practice Address - Phone:781-828-3717
Practice Address - Fax:
Is Sole Proprietor?:Not Answered
Enumeration Date:2005-10-18
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MA2001101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health