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NPI Code Detail

MEDICARE: DOREEN M DRAHEIM LMHC

MEDICARE: DOREEN M DRAHEIM LMHC
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1101YM0800XMental Health Counselor5198MA

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1LM0939OTHERMABC/BS
2326437OTHERMAMHN/CHAMPUS

General Provider Information

NPI Number : 1437233608
Entity Type Code : Individual
Provider Name (Legal Business Name) : DOREEN M DRAHEIM LMHC
Provider Business Mailing Address
First Line : 1221 MAIN ST STE 401
Second Line :
City : WEYMOUTH
State : MA
Zip : 02190-1562
Country : US
Telephone Number : 781-896-7499
Fax Number : 781-803-2952
Provider Business Practice Location Address
First Line : 1221 MAIN ST
Second Line :
City : WEYMOUTH
State : MA
Zip : 02190-1561
Country : US
Telephone Number : 781-896-7499
Fax Number : 781-803-2952
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 10/24/2006
Last Update Date : 05/15/2023

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