Individual
MARY ELLEN NIXON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LMHC
Contact information
Practice address
38 DONCASTER ST, ROSLINDALE, MA 02131-4610
(617) 323-6995
Mailing address
38 DONCASTER ST, ROSLINDALE, MA 02131-4610
(617) 323-6995
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
5424
MA
Other
Enumeration date
04/12/2007
Last updated
07/08/2007
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