Provider Demographics
NPI:1437233608
Name:DRAHEIM, DOREEN M (LMHC)
Entity Type:Individual
Prefix:
First Name:DOREEN
Middle Name:M
Last Name:DRAHEIM
Suffix:
Gender:F
Credentials:LMHC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1221 MAIN ST STE 401
Mailing Address - Street 2:
Mailing Address - City:WEYMOUTH
Mailing Address - State:MA
Mailing Address - Zip Code:02190-1562
Mailing Address - Country:US
Mailing Address - Phone:781-896-7499
Mailing Address - Fax:781-803-2952
Practice Address - Street 1:1221 MAIN ST
Practice Address - Street 2:
Practice Address - City:WEYMOUTH
Practice Address - State:MA
Practice Address - Zip Code:02190-1561
Practice Address - Country:US
Practice Address - Phone:781-896-7499
Practice Address - Fax:781-803-2952
Is Sole Proprietor?:Yes
Enumeration Date:2006-10-24
Last Update Date:2023-05-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MA5198101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health
Provider Identifiers
StateIdentifier IDID TypeIssuer
MALM0939OtherBC/BS
MA326437OtherMHN/CHAMPUS