Individual provider · Type 1 NPI

Diane Marie Donovan

Mental Health Counselor · Allston, MA

NPI number 1417288036 Active

Practice location

14 Fordham Rd
Allston, MA 02134-3006

Mailing address

146 Oxford St, #6
Somerville, MA 02143-3579

Specialties and licenses

TaxonomyCodeLicense
Mental Health Counselor Primary 101YM0800XNone listed

Mental Health Counselor: Definition to come...

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About NPI 1417288036

Diane Marie Donovan's National Provider Identifier is 1417288036, issued on Jan 21, 2010. The primary taxonomy on file is Mental Health Counselor (101YM0800X), and the practice location is in Allston, MA. The record was last updated on Jan 21, 2010.