| Dana Ellsmore | |
|
260 Beacon St Somerville MA 02143-3534 | |
| (617) 661-5700 | |
| Not Available |
| Full Name | Dana Ellsmore |
|---|---|
| Speciality | Counselor - Addiction (substance Use Disorder) |
| Location | 260 Beacon St, Somerville, Massachusetts |
| Authorized Official Name and Position | Dana H. Ellsmore (CLINICIAN) |
| Authorized Official Contact | 6176615700 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Dana Ellsmore 260 Beacon St Somerville MA 02143-3534 Ph: (617) 661-5700 | Dana Ellsmore 260 Beacon St Somerville MA 02143-3534 Ph: (617) 661-5700 |
| NPI Number | 1013283134 |
|---|---|
| Provider Enumeration Date | 03/23/2012 |
| Last Update Date | 03/23/2012 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1013283134 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YA0400X | Counselor - Addiction (substance Use Disorder) | (* (Not Available)) | Primary |
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