Michaela U Bannon
Michaela U Bannon is a Mental Health Counselor in Boston, Massachusetts. Works from 2 locations. Licensed in Massachusetts.
- Licensed in
- MA
- In the registry since
- 2013
- Specialties on file
- 4
Practice location Address checks out
300 Longwood AveBoston, MA 02115-5724
Phone: (617) 355-6000
Show map & directions
Directions in Google Maps · Apple Maps · OpenStreetMap
Pin is approximate — placed at the ZIP-code centre, not the exact door.
Additional practice locations (1)
- 237 Highland Ave, Needham, MA 02494-3036 — (781) 686-2576
Specialties & licences
| Clinical Social Worker (primary) | Taxonomy 1041C0700X · Licence 121601 (MA) |
|---|---|
| Mental Health Counselor | Taxonomy 101YM0800X |
| Case Manager/Care Coordinator | Taxonomy 171M00000X |
| Developmental Therapist | Taxonomy 222Q00000X |
Record details
| NPI number | 1043557440 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Female |
| Sole proprietor | No |
| NPI enumerated | January 7, 2013 |
| Last updated in NPPES | November 14, 2022 |
| Certification date | November 14, 2022 |
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