Theresa Dillon
Counselor, Mental Health in Brockton, MA. Individual provider (NPI-1).
NPI number1457100554
StatusActive
Last updated in NPPESMay 13, 2024
Details
- NPI
- 1457100554
- Entity type
- Individual (NPI-1)
- Name
- Theresa Dillon
- Sex
- Female
- Sole proprietor
- No
- Enumeration date
- May 13, 2024
- Certification date
- May 13, 2024
- Last updated
- May 13, 2024
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 101YM0800X | Counselor, Mental Health | – | – | Yes |
Practice location
10 Christy DrBrockton, MA 02301-1812
Phone 781-447-6425
Mailing address
10 Christy DrBrockton, MA 02301-1812
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