Individual provider · Type 1 NPI

Domenique Marie Delucia, LMHC

Mental Health Counselor · Boston, MA

NPI number 1104470673 Active

Practice location

23 Bradston St Fl 1
Boston, MA 02118-2703

Call (617) 318-6480 Map

Fax (617) 427-1263

Specialties and licenses

TaxonomyCodeLicense
Mental Health Counselor Primary 101YM0800X12619 (MA)
Addiction (Substance Use Disorder) Counselor 101YA0400XNone listed

Mental Health Counselor: Definition to come...

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About NPI 1104470673

Domenique Marie Delucia, LMHC's National Provider Identifier is 1104470673, issued on Aug 1, 2019. The primary taxonomy on file is Mental Health Counselor (101YM0800X), and the practice location is in Boston, MA. The record was last updated on Aug 13, 2026.