Organization
COMMONWEALTH MENTAL HEALTH & WELLNESS CENTER
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. DAVID LEON AVERY LMHC (PRESIDENT/CEO)
(617) 282-9772
Entity
Organization
Contact information
Practice address
35 BURT ST, DORCHESTER, MA 02124-3705
(617) 282-9772
(617) 506-1573
Mailing address
35 BURT ST, DORCHESTER, MA 02124-3705
(617) 282-9772
(617) 506-1573
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
7173
MA
251S00000X
Community/Behavioral Health Agency
572
MA
Other
Enumeration date
02/20/2012
Last updated
02/20/2012
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