person
Domenique Delucia, LMHC
Addiction (Substance Use Disorder) Counselor in Boston, Massachusetts
NPI 1104470673

Domenique Delucia is an Addiction (Substance Use Disorder) Counselor based in Boston, MA and is specialized in Addiction (Substance Use Disorder). Domenique Delucia practices in Boston, MA and has the professional credentials of LMHC. The NPI Number for Domenique Delucia is 1104470673 and holds a License No. 12619 (Massachusetts).

The current practice location address for Domenique Delucia is 55 Fruit St, Boston, MA and can be reached out via phone at 617-726-2000.

Location: 55 Fruit St, Boston, MA, 02114-2621
person
Provider Profile Details
NPI Number
1104470673
Provider Name
Domenique Delucia
Credential
LMHC
Provider Entity Type
Individual
Gender
Female
Address
55 Fruit St, Boston, MA, 02114-2621
Phone Number
617-726-2000
Fax Number
Provider Enumeration Date
08/01/2019
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
55 Fruit St
City
State
Zip
02114-2621
Phone Number
617-726-2000
Fax Number
person
Provider Business Mailing Address Details
Address
55 Fruit St
City
State
Zip
02114-2621
Phone Number
617-726-2000
Fax Number
person
Provider's Taxonomy Details 1
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
Addiction (Substance Use Disorder)
Taxonomy
License No.
()
Definition
Definition to come...
person
Provider's Taxonomy Details 2
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
Mental Health
Taxonomy
License No.
12619 (Massachusetts)
Definition
Definition to come...
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