Individual
DARINA KHUSAINOVA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
645 BROADWAY, SOMERVILLE, MA 02145-2528
(857) 997-0062
Mailing address
660 OCEAN AVE APT 417, REVERE, MA 02151-1290
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
—
—
Other
Enumeration date
06/17/2024
Last updated
06/17/2024
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