Individual
LISA DOUBLEDAY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
M.ED
Contact information
Practice address
30 MEADOWBROOK RD, BROCKTON, MA 02301-7122
(508) 408-6190
(508) 408-6191
Mailing address
30 MEADOWBROOK RD, BROCKTON, MA 02301-7122
(508) 408-6190
(508) 408-6191
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
—
—
Other
Enumeration date
02/06/2014
Last updated
02/06/2014
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