Individual provider · Type 1 NPI
Daniel Mendes Depina, M.ED. LADC I, MA PG
Addiction (Substance Use Disorder) Counselor · Brockton, MA
NPI number
1073817573
Active
Practice location
682 North Main Street, Apt. 308
Brockton, MA 02301-3626
Other practice locations
- 1311 Main St, Brockton, MA 02301-7109 · (508) 256-3238
- 1305 Main St, Brockton, MA 02301-7109 · (508) 256-3238
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Addiction (Substance Use Disorder) Counselor Primary | 101YA0400X | None listed |
Addiction (Substance Use Disorder) Counselor: Definition to come...
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About NPI 1073817573
Daniel Mendes Depina, M.ED. LADC I, MA PG's National Provider Identifier is 1073817573, issued on Dec 27, 2010. The primary taxonomy on file is Addiction (Substance Use Disorder) Counselor (101YA0400X), and the practice location is in Brockton, MA. The record was last updated on Aug 7, 2020.