Provider Demographics
NPI:1548690043
Name:HUARD, CECILIA MARIA
Entity type:Individual
Prefix:MRS
First Name:CECILIA
Middle Name:MARIA
Last Name:HUARD
Suffix:
Gender:F
Credentials:
Other - Prefix:MRS
Other - First Name:CECILIA
Other - Middle Name:MARIA
Other - Last Name:ALBUQUERQUE
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:MA
Mailing Address - Street 1:43 TUPELO RD
Mailing Address - Street 2:
Mailing Address - City:WESTPORT
Mailing Address - State:MA
Mailing Address - Zip Code:02790-4981
Mailing Address - Country:US
Mailing Address - Phone:508-965-5069
Mailing Address - Fax:
Practice Address - Street 1:400 WASHINGTON ST
Practice Address - Street 2:SUITE 303
Practice Address - City:BRAINTREE
Practice Address - State:MA
Practice Address - Zip Code:02184-4729
Practice Address - Country:US
Practice Address - Phone:781-843-3683
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2013-11-19
Last Update Date:2013-11-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MA101Y00000101Y00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101Y00000XBehavioral Health & Social Service ProvidersCounselor