Individual
DARA MICHELLE BRENNER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MA, LMHC
Contact information
Practice address
66 COMMONWEALTH AVE, CONCORD, MA 01742-2974
(786) 351-3381
Mailing address
137 NEWBURY ST, BOSTON, MA 02116-2912
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
11381
MA
Other
Enumeration date
10/24/2019
Last updated
10/24/2019
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