Individual provider · Type 1 NPI

Ellen Marie Disch

Mental Health Counselor · Dorchester, MA

NPI number 1477081677 Active

Practice location

415 Neponset Ave Ste 3
Dorchester, MA 02122-3169

Call (857) 217-3700 Map

Fax (857) 217-3700

Mailing address

478 Medford St Apt 1
Somerville, MA 02145-2617

Specialties and licenses

TaxonomyCodeLicense
Mental Health Counselor Primary 101YM0800XNone listed

Mental Health Counselor: Definition to come...

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About NPI 1477081677

Ellen Marie Disch's National Provider Identifier is 1477081677, issued on Jun 1, 2017. The primary taxonomy on file is Mental Health Counselor (101YM0800X), and the practice location is in Dorchester, MA. The record was last updated on Jun 1, 2017.