Individual
CHRISTINE FAY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LICSW, LADC I, CADC
Contact information
Practice address
3 ALLIED DR STE 303, DEDHAM, MA 02026-6148
(617) 221-5131
(781) 459-4698
Mailing address
78 LINCOLN ST, DEDHAM, MA 02026-3309
(781) 474-9423
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
128678
MA
101YA0400X
Addiction (Substance Use Disorder) Counselor
1899AD
MA
101YA0400X
Addiction (Substance Use Disorder) Counselor
22943
MA
1041C0700X
Clinical Social Worker
Primary
128678
MA
Other
Enumeration date
06/26/2019
Last updated
02/17/2025
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