Provider Demographics
NPI:1881729234
Name:CRESPO, MONICA T (LMHC)
Entity type:Individual
Prefix:MRS
First Name:MONICA
Middle Name:T
Last Name:CRESPO
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 1:37 WEISNER PKWY
Mailing Address - Street 2:
Mailing Address - City:METHUEN
Mailing Address - State:MA
Mailing Address - Zip Code:01844-5937
Mailing Address - Country:US
Mailing Address - Phone:978-397-6939
Mailing Address - Fax:
Practice Address - Street 1:12745 MAYPAN DR
Practice Address - Street 2:
Practice Address - City:BOCA RATON
Practice Address - State:FL
Practice Address - Zip Code:33428-4782
Practice Address - Country:US
Practice Address - Phone:786-722-8562
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2007-02-23
Last Update Date:2024-03-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FL19278101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health