Provider Demographics
NPI:1316087232
Name:NUTTALL, DARCIE MARIE (MED, LMHC)
Entity type:Individual
Prefix:MS
First Name:DARCIE
Middle Name:MARIE
Last Name:NUTTALL
Suffix:
Gender:F
Credentials:MED, LMHC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
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Other - Credentials:
Mailing Address - Street 1:222 MAIN ST
Mailing Address - Street 2:
Mailing Address - City:NORTH ANDOVER
Mailing Address - State:MA
Mailing Address - Zip Code:01845-2511
Mailing Address - Country:US
Mailing Address - Phone:978-682-0185
Mailing Address - Fax:
Practice Address - Street 1:26 CHESTNUT ST
Practice Address - Street 2:SUITE 2A
Practice Address - City:ANDOVER
Practice Address - State:MA
Practice Address - Zip Code:01810-3600
Practice Address - Country:US
Practice Address - Phone:978-387-7963
Practice Address - Fax:978-470-3767
Is Sole Proprietor?:Yes
Enumeration Date:2007-02-08
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MA4786101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health