Individual
MS. DANIELLA LILLIAN COLB
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PRACTICUM STUDENT
Contact information
Practice address
895 BLUE HILL AVE, BOSTON, MA 02124-2902
(617) 822-7146
Mailing address
226 WREN ST, WEST ROXBURY, MA 02132-2716
(617) 921-5624
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
—
—
Other
Enumeration date
09/25/2019
Last updated
09/25/2019
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