Provider Demographics
NPI:1689479800
Name:PACHECO, CARINA MERCEDES
Entity type:Individual
Prefix:
First Name:CARINA
Middle Name:MERCEDES
Last Name:PACHECO
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:124 OCEAN AVE APT 210
Mailing Address - Street 2:
Mailing Address - City:SALEM
Mailing Address - State:MA
Mailing Address - Zip Code:01970-2990
Mailing Address - Country:US
Mailing Address - Phone:978-818-9513
Mailing Address - Fax:
Practice Address - Street 1:56 MARGIN ST
Practice Address - Street 2:
Practice Address - City:SALEM
Practice Address - State:MA
Practice Address - Zip Code:01970-3341
Practice Address - Country:US
Practice Address - Phone:978-744-0500
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2025-02-13
Last Update Date:2025-02-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101Y00000XBehavioral Health & Social Service ProvidersCounselor