Individual
ALLISON L FOSSELLA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MA
Contact information
Practice address
20 RIVERSIDE DR STE 102, LAKEVILLE, MA 02347-1699
(508) 573-4844
Mailing address
20 RIVERSIDE DR STE 102, LAKEVILLE, MA 02347-1699
(508) 573-4844
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
110026265E
—
MA
01
—
685661
TUFTS
MA
Enumeration date
07/08/2010
Last updated
10/08/2024
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