Provider Demographics
NPI:1215175062
Name:KROT-NOWAK, DENISE MICHELLE (LMHC)
Entity type:Individual
Prefix:MS
First Name:DENISE
Middle Name:MICHELLE
Last Name:KROT-NOWAK
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 1:10 LOVERS LN
Mailing Address - Street 2:
Mailing Address - City:MEDWAY
Mailing Address - State:MA
Mailing Address - Zip Code:02053-1110
Mailing Address - Country:US
Mailing Address - Phone:508-533-8634
Mailing Address - Fax:
Practice Address - Street 1:38 POND ST
Practice Address - Street 2:SUITE 101
Practice Address - City:FRANKLIN
Practice Address - State:MA
Practice Address - Zip Code:02038-3807
Practice Address - Country:US
Practice Address - Phone:508-528-6037
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2009-02-02
Last Update Date:2009-02-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MA6778101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health