Individual
MARINA LOUIS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
23 BRADSTON ST FL 1, BOSTON, MA 02118-2703
(617) 318-6480
Mailing address
23 BRADSTON ST FL 1, BOSTON, MA 02118-2703
(617) 318-6480
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
M08GWS1247L
NY
Other
Enumeration date
12/28/2021
Last updated
12/28/2021
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