| NPI | 1467911990 |
|---|---|
| Doing Business As | ILENE G LEVINE LMHC |
| Entity Type | Organization |
| Authorized Contact | ILENE G LEVINE Owner 508-982-4755 |
| Organization Subpart ? | No |
| Primary Taxonomy | 101YP2500X Counselor, Professional |
| Enumeration Date | 2019-03-14 |
| Last Update Date | 2019-03-14 |