Individual
MS. LISA RENEE DUNHAM
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
CADC
Contact information
Practice address
784 MASSACHUSETTS AVE, BOSTON, MA 02118
(617) 247-1001
(617) 266-3144
Mailing address
784 MASS AVE, BOSTON, MA 02118
(617) 247-1001
(617) 266-3144
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
—
—
Other
Enumeration date
08/19/2013
Last updated
08/19/2013
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