Individual
DIANA GAYA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
10 MEADOWBROOK RD, BROCKTON, MA 02301-7122
(508) 742-4424
Mailing address
24 MONROE ST, TAUNTON, MA 02780-1848
(774) 266-2808
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
—
—
Other
Enumeration date
03/18/2010
Last updated
03/18/2010
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