Individual provider · Type 1 NPI

Dominique Dolivo

Mental Health Counselor · Dorchester, MA

NPI number 1770829947 Active

Practice location

415 Neponset Ave, Third Floor
Dorchester, MA 02122-3168

Specialties and licenses

TaxonomyCodeLicense
Mental Health Counselor Primary 101YM0800XNone listed

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About NPI 1770829947

Dominique Dolivo's National Provider Identifier is 1770829947, issued on Dec 17, 2012. The primary taxonomy on file is Mental Health Counselor (101YM0800X), and the practice location is in Dorchester, MA. The record was last updated on Dec 17, 2012.