Individual provider · Type 1 NPI

Darina Khusainova

Mental Health Counselor · Somerville, MA

NPI number 1205679198 Active

Practice location

645 Broadway
Somerville, MA 02145-2528

Mailing address

660 Ocean Ave Apt 417
Revere, MA 02151-1290

Specialties and licenses

TaxonomyCodeLicense
Mental Health Counselor Primary 101YM0800XNone listed

Mental Health Counselor: Definition to come...

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About NPI 1205679198

Darina Khusainova's National Provider Identifier is 1205679198, issued on Jun 17, 2024. The primary taxonomy on file is Mental Health Counselor (101YM0800X), and the practice location is in Somerville, MA. The record was last updated on Jun 17, 2024.