Individual
LORETTA LEVERETT
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
153 BLUE HILL AVE, ROXBURY, MA 02119-2118
(617) 442-7837
Mailing address
14 BRENTWOOD ST, BOSTON, MA 02134-1328
(617) 331-8518
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
1561
MA
Other
Enumeration date
03/10/2025
Last updated
03/10/2025
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