Individual provider · Type 1 NPI

Mark Dagnall, LMHC, LADC 1, CRC

Mental Health Counselor · Boston, MA

NPI number 1083930192 Active

Practice location

75 Amory St, Rear Entrance
Boston, MA 02119-1051

Fax (857) 399-1901

Specialties and licenses

TaxonomyCodeLicense
Addiction (Substance Use Disorder) Counselor 101YA0400X2411 (MA)
Mental Health Counselor Primary 101YM0800X9039 (MA)

Mental Health Counselor: Definition to come...

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About NPI 1083930192

Mark Dagnall, LMHC, LADC 1, CRC's National Provider Identifier is 1083930192, issued on Apr 14, 2010. The primary taxonomy on file is Mental Health Counselor (101YM0800X), and the practice location is in Boston, MA. The record was last updated on Jul 21, 2015.