Dunham, Lisa Renee

Dunham, Lisa Renee is an sole proprietor health care provider with primary practice located at 784 Massachusetts Ave , Boston MA 02118. She recently has only one registered license in Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder), which is considered as her primary health care specialty. Dunham, Lisa Renee can be contacted via phone (617) 247-1001.

Contact Information

Primary practice address
784 Massachusetts Ave Boston MA 02118
Phone: (617) 247-1001
Fax: (617) 266-3144
Website:
Map and Directions

Health care specialties

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

Profile Details

NPI number 1386077915
LBN Legal business name Dunham, Lisa Renee
Credentials CADC
Entity Individual
Sole proprietor 1 Yes
Enumeration date Aug 19th, 2013
Last updated Aug 19th, 2013 - about 12 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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