Provider Demographics
NPI:1902054752
Name:MACEACHERN, ALISON V (LMHC)
Entity type:Individual
Prefix:
First Name:ALISON
Middle Name:V
Last Name:MACEACHERN
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 1:14 CEDAR ST
Mailing Address - Street 2:SUITE 203
Mailing Address - City:AMESBURY
Mailing Address - State:MA
Mailing Address - Zip Code:01913-1831
Mailing Address - Country:US
Mailing Address - Phone:617-233-2432
Mailing Address - Fax:
Practice Address - Street 1:14 CEDAR ST
Practice Address - Street 2:SUITE 203
Practice Address - City:AMESBURY
Practice Address - State:MA
Practice Address - Zip Code:01913-1831
Practice Address - Country:US
Practice Address - Phone:978-327-6623
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2008-09-05
Last Update Date:2015-01-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MA8263101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental HealthGroup - Multi-Specialty