Individual
DANELSI MEJIA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
780 AMERICAN LEGION HWY, ROSLINDALE, MA 02131-3908
(617) 469-8685
Mailing address
780 AMERICAN LEGION HWY, ROSLINDALE, MA 02131-3908
(617) 469-8685
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
NHP0102633
MASSHEALTH
MA
Enumeration date
05/31/2012
Last updated
05/31/2012
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