Daniella Lillian Colb, Practicum Student
Counselor, Mental Health in Boston, MA. Individual provider (NPI-1).
NPI number1982255501
StatusActive
Last updated in NPPESSep 25, 2019
Details
- NPI
- 1982255501
- Entity type
- Individual (NPI-1)
- Name
- Ms. Daniella Lillian Colb
- Credential
- Practicum Student
- Sex
- Female
- Sole proprietor
- No
- Enumeration date
- Sep 25, 2019
- Last updated
- Sep 25, 2019
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 101YM0800X | Counselor, Mental Health | – | – | Yes |
Practice location
895 Blue Hill AveBoston, MA 02124-2902
Phone 617-822-7146
Mailing address
226 Wren StWest Roxbury, MA 02132-2716
Phone 617-921-5624
Other practice locations
Harvard Street Neighborhood Health Center
632 Blue Hill Avenue
Dorchester, MA 02121
632 Blue Hill Avenue
Dorchester, MA 02121
Phone 617-825-3400
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