Provider Demographics
NPI:1538796339
Name:FRECHETTE, BETH ANNE GROUX (LMHC)
Entity type:Individual
Prefix:MS
First Name:BETH ANNE
Middle Name:GROUX
Last Name:FRECHETTE
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 1:31 GRIFFIN RD
Mailing Address - Street 2:
Mailing Address - City:WESTFORD
Mailing Address - State:MA
Mailing Address - Zip Code:01886-3923
Mailing Address - Country:US
Mailing Address - Phone:978-846-2488
Mailing Address - Fax:
Practice Address - Street 1:31 GRIFFIN RD
Practice Address - Street 2:
Practice Address - City:WESTFORD
Practice Address - State:MA
Practice Address - Zip Code:01886-3923
Practice Address - Country:US
Practice Address - Phone:978-846-2488
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2020-03-24
Last Update Date:2020-03-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MA4308101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental HealthGroup - Single Specialty