person
Dominga Logan
Mental Health Counselor in Brockton, Massachusetts
NPI 1366122681

Dominga Logan is a Mental Health Counselor based in Brockton, MA and is specialized in Mental Health. Dominga Logan practices in Brockton, MA. The NPI Number for Dominga Logan is 1366122681 and holds a License No. (Massachusetts).

The current practice location address for Dominga Logan is 103 Commercial Street, Brockton, MA and can be reached out via phone at 508-580-4691.

Location: 103 Commercial Street, Brockton, MA, 02302
person
Provider Profile Details
NPI Number
1366122681
Provider Name
Dominga Logan
Credential
Provider Entity Type
Individual
Gender
Female
Address
103 Commercial Street, Brockton, MA, 02302
Phone Number
508-580-4691
Fax Number
Provider Enumeration Date
07/21/2023
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
103 Commercial Street
City
State
Zip
02302
Phone Number
508-580-4691
Fax Number
person
Provider Business Mailing Address Details
Address
103 Commercial Street
City
State
Zip
02302
Phone Number
508-580-4691
Fax Number
person
Provider's Taxonomy Details 1
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
Mental Health
Taxonomy
License No.
()
Definition
Definition to come...
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