MICHAEL EDWARD DIEFFENBACH

BRIGHTON, MA
NPI1164811782
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy101YM0800X Counselor, Mental Health
(Licence: MA  9075)
Enumeration Date2015-01-20
Last Update Date2015-01-20
Business Address
-- MICHAEL EDWARD DIEFFENBACH LMHC
1710 COMMONWEALTH AVE APT 3
BRIGHTON, MA 02135-5624
Phone number: 617-833-8106
Mailing Address
-- MICHAEL EDWARD DIEFFENBACH LMHC
1710 COMMONWEALTH AVE APT 3
BRIGHTON, MA 02135-5624
Phone number: 617-833-8106