Individual
VANESSA DUVERGER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LPN
Contact information
Practice address
180 CENTRE ST, BROCKTON, MA 02302-2733
(508) 586-6300
Mailing address
180 CENTRE ST, BROCKTON, MA 02302-2733
(508) 586-6300
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
—
—
164W00000X
Licensed Practical Nurse
Primary
LN92900
MA
Other
Enumeration date
05/21/2026
Last updated
05/28/2026
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