Provider Demographics
NPI:1902955032
Name:CENEDELLA, DAWNMARIE WATSON (MA, LMHC)
Entity Type:Individual
Prefix:
First Name:DAWNMARIE
Middle Name:WATSON
Last Name:CENEDELLA
Suffix:
Gender:F
Credentials:MA, LMHC
Other - Prefix:
Other - First Name:DAWN
Other - Middle Name:
Other - Last Name:CENEDELLA
Other - Suffix:
Other - Last Name Type:Other Name
Other - Credentials:MA, LMHC
Mailing Address - Street 1:9B SENATE RD
Mailing Address - Street 2:
Mailing Address - City:MILFORD
Mailing Address - State:MA
Mailing Address - Zip Code:01757-1908
Mailing Address - Country:US
Mailing Address - Phone:508-429-2276
Mailing Address - Fax:
Practice Address - Street 1:38 POND ST STE 101
Practice Address - Street 2:
Practice Address - City:FRANKLIN
Practice Address - State:MA
Practice Address - Zip Code:02038-3822
Practice Address - Country:US
Practice Address - Phone:508-528-6037
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2007-01-09
Last Update Date:2018-10-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MA5715101YM0800X
MALMHC - 5715101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health
Provider Identifiers
StateIdentifier IDID TypeIssuer
MA1902955032Medicaid
1598707002OtherARBOUR COUNSELING SERVICES