Domanico, Laura

Domanico, Laura is an individual health care provider with primary practice located at 250 Lincoln St , Allston MA 02134. She recently has 2 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder), Behavioral Health & Social Service Providers / Mental Health. Behavioral Health & Social Service Providers / Mental Health is her primary health care specialty. Domanico, Laura can be contacted via phone (617) 290-9414.

Contact Information

Primary practice address
250 Lincoln St Allston MA 02134
Phone: (617) 290-9414
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder) 101YA0400X
Behavioral Health & Social Service Providers / Mental Health 101YM0800X
Behavioral Health & Social Service Providers / Mental Health 101YM0800X 10395 Massachusetts

Profile Details

NPI number 1518367101
LBN Legal business name Domanico, Laura
Credentials LMHC
Entity Individual
Sole proprietor 1 No
Enumeration date Sep 2nd, 2014
Last updated Jun 25th, 2018 - about 8 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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