Provider Demographics
NPI:1447569736
Name:MOK, MENDEL M (LMHC)
Entity type:Individual
Prefix:
First Name:MENDEL
Middle Name:M
Last Name:MOK
Suffix:
Gender:F
Credentials:LMHC
Other - Prefix:
Other - First Name:ROSE MARY
Other - Middle Name:M
Other - Last Name:MOK
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:LMHC
Mailing Address - Street 1:PO BOX 351
Mailing Address - Street 2:
Mailing Address - City:NORTHAMPTON
Mailing Address - State:MA
Mailing Address - Zip Code:01061-9998
Mailing Address - Country:US
Mailing Address - Phone:413-588-6051
Mailing Address - Fax:
Practice Address - Street 1:16 CENTER STREET
Practice Address - Street 2:SUITE 516
Practice Address - City:NORTHAMPTON
Practice Address - State:MA
Practice Address - Zip Code:01060
Practice Address - Country:US
Practice Address - Phone:413-588-6051
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2010-10-04
Last Update Date:2024-11-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
101YA0400X
MA9780101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health
No101YA0400XBehavioral Health & Social Service ProvidersCounselorAddiction (Substance Use Disorder)