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Individual

REBECCA BOISVERT

Active
Sole proprietor
No

Provider details

NPI number
Gender
F

Contact information

Practice address
135 GOLD STAR BLVD, WORCESTER, MA 01606-2738
(774) 433-5454
Mailing address
18 WILLIAM ST, FITCHBURG, MA 01420-5974
(774) 433-5454

Taxonomy

Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
101YM0800X
Mental Health Counselor
103TB0200X
Cognitive & Behavioral Psychologist
172V00000X
Community Health Worker
Primary
222Q00000X
Developmental Therapist

Other

Enumeration date
02/21/2017
Last updated
07/30/2026
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