Individual
ALISSE MARIE DESROSIERS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
497 BELLEVILLE AVE, NEW BEDFORD, MA 02746-5432
(508) 224-7701
Mailing address
497 BELLEVILLE AVE, NEW BEDFORD, MA 02746-5432
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
—
—
Other
Enumeration date
08/31/2016
Last updated
08/31/2016
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