Individual
MS. DOMINIQUE BELLEGARDE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
CLC,CLE,CCHW
Contact information
Practice address
306 WASHINGTON ST APT 3, BOSTON, MA 02121-3971
(617) 329-1277
Mailing address
306 WASHINGTON ST APT 3, DORCHESTER, MA 02121-3971
(617) 892-3634
Taxonomy
Speciality
Code
Description
License number
State
172V00000X
Community Health Worker
CHW00280
MA
174N00000X
Lactation Consultant (Non-RN)
—
—
176B00000X
Midwife
—
—
374J00000X
Doula
Primary
—
MA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
33659
LACTATION
MA
Enumeration date
07/20/2022
Last updated
10/20/2023
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