person
Charlotte Dominguez, LCSW
Mental Health Counselor in Bedford, Massachusetts
NPI 1770110496

Charlotte Dominguez is a Mental Health Counselor based in Bedford, MA and is specialized in Mental Health. Charlotte Dominguez practices in Bedford, MA and has the professional credentials of LCSW. The NPI Number for Charlotte Dominguez is 1770110496 and holds a License No. (Massachusetts).

The current practice location address for Charlotte Dominguez is 205 Burlington Rd, Bedford, MA and can be reached out via phone at 781-761-5090 and via fax at 781-275-7206.

Location: 205 Burlington Rd, Bedford, MA, 01730-1406
person
Provider Profile Details
NPI Number
1770110496
Provider Name
Charlotte Dominguez
Credential
LCSW
Provider Entity Type
Individual
Gender
Female
Address
205 Burlington Rd, Bedford, MA, 01730-1406
Phone Number
781-761-5090
Fax Number
781-275-7206
Provider Enumeration Date
03/24/2020
Last Update Date
03/10/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
99618201 01 MA NETWORK HEALTH
042611055 01 MA TAX ID
1004745 01 MA FALLON
1303287 01 MA MBHP
0000023532 01 MA BMC
M18633 01 MA BCBS
institution
Provider Business Practice Location Address Details
Address
205 Burlington Rd
City
State
Zip
01730-1406
Phone Number
781-761-5090
Fax Number
781-275-7206
person
Provider Business Mailing Address Details
Address
205 Burlington Rd
City
State
Zip
01730-1406
Phone Number
781-761-5090
Fax Number
781-275-7206
person
Provider's Taxonomy Details 1
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
Mental Health
Taxonomy
License No.
(Massachusetts)
Definition
Definition to come...
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