Individual
MR. JAMES M. LAVASH
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
LICSW
Contact information
Practice address
1500 DORCHESTER AVE, DORCHESTER, MA 02122-1327
(617) 825-5000
(617) 288-5991
Mailing address
1500 DORCHESTER AVE, DORCHESTER, MA 02122-1327
(617) 825-5000
(617) 288-5991
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
111308
MA
101YM0800X
Mental Health Counselor
111308
MA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1303511
—
MA
Enumeration date
12/06/2006
Last updated
09/11/2025
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