Individual
MS. DENISE MARIE PREFONTAINE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RN BS LMHC
Contact information
Practice address
529 PEARL ST, BROCKTON, MA 02301-2825
(508) 580-2211
(508) 427-1772
Mailing address
33 ELIOT MEMORIAL RD, NEWTON, MA 02458-2703
(617) 964-3585
(617) 969-4049
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
1505
MA
Other
Enumeration date
03/11/2007
Last updated
07/08/2007
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