Individual
SELENE CERULLI
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
BA
Contact information
Practice address
27 LITHGOW ST, DORCHESTER, MA 02124-3610
(781) 513-6894
Mailing address
27 LITHGOW ST, DORCHESTER, MA 02124-3610
(781) 513-6894
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
—
MA
Other
Enumeration date
09/07/2016
Last updated
09/07/2016
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