Individual
LISA MARIE DONOVAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MS,CCLS,RWWP
Contact information
Practice address
603 NEPONSET ST, CANTON, MA 02021-1981
(781) 255-1817
(781) 762-8542
Mailing address
869 MAIN ST STE 6B, WALPOLE, MA 02081-2985
(781) 269-9788
(781) 327-2703
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
—
—
222Q00000X
Developmental Therapist
Primary
—
—
Other
Enumeration date
02/20/2024
Last updated
02/20/2024
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