Provider Demographics
NPI:1174659742
Name:DAKIN, JOANNE SUSAN (MA)
Entity Type:Individual
Prefix:MRS
First Name:JOANNE
Middle Name:SUSAN
Last Name:DAKIN
Suffix:
Gender:F
Credentials:MA
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:447 WOOD ST
Mailing Address - Street 2:
Mailing Address - City:NEW BEDFORD
Mailing Address - State:MA
Mailing Address - Zip Code:02745-5734
Mailing Address - Country:US
Mailing Address - Phone:508-998-0909
Mailing Address - Fax:508-998-1186
Practice Address - Street 1:447 WOOD ST
Practice Address - Street 2:
Practice Address - City:NEW BEDFORD
Practice Address - State:MA
Practice Address - Zip Code:02745-5734
Practice Address - Country:US
Practice Address - Phone:508-998-0909
Practice Address - Fax:508-998-1186
Is Sole Proprietor?:No
Enumeration Date:2007-02-26
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MA3029654101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health