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Organization
BRILLANTE INDEPENDENT LIFE
Active
Organization
BRILLANTE INDEPENDENT LIFE
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MARIA FERRERAS PHD (LMHC)
(617) 455-1623
Entity
Organization
Contact information
Practice address
439 S UNION ST STE 102, LAWRENCE, MA 01843-2837
(978) 898-8878
Mailing address
439 S UNION ST STE 102, LAWRENCE, MA 01843-2837
(978) 898-8878
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
—
—
101YM0800X
Mental Health Counselor
—
—
103TA0400X
Addiction (Substance Use Disorder) Psychologist
Primary
—
—
103TC1900X
Counseling Psychologist
—
—
Other
Enumeration date
03/05/2024
Last updated
03/05/2024
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