Axelson, Michelle

Axelson, Michelle is an individual health care provider with primary practice located at 7 Haviland St , Boston MA 02115-2683. She recently has 2 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder), Behavioral Health & Social Service Providers / Clinical. Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder) is her primary health care specialty. Axelson, Michelle can be contacted via phone (617) 267-0900.

Contact Information

Primary practice address
7 Haviland St Boston MA 02115-2683
Phone: (617) 267-0900
Fax: (617) 267-3667
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder) 101YA0400X
Behavioral Health & Social Service Providers / Clinical 1041C0700X 114202 Massachusetts

Profile Details

NPI number 1922186220
LBN Legal business name Axelson, Michelle
Credentials CADAC
Entity Individual
Sole proprietor 1 No
Enumeration date Nov 2nd, 2006
Last updated Dec 14th, 2007 - about 18 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

Request for update

Identifiers

StateTypeNumberIssuer
All States NPI 1922186220 NPPES
Massachusetts MEDICAID 1303546

Popular Providers