Provider Demographics
NPI:1568528479
Name:CAREY, DOLORES HELEN (LADCI)
Entity Type:Individual
Prefix:MRS
First Name:DOLORES
Middle Name:HELEN
Last Name:CAREY
Suffix:
Gender:F
Credentials:LADCI
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:75 CARLISLE ST
Mailing Address - Street 2:
Mailing Address - City:QUINCY
Mailing Address - State:MA
Mailing Address - Zip Code:02171-1610
Mailing Address - Country:US
Mailing Address - Phone:616-534-2526
Mailing Address - Fax:617-534-2543
Practice Address - Street 1:75 CARLISLE ST
Practice Address - Street 2:
Practice Address - City:QUINCY
Practice Address - State:MA
Practice Address - Zip Code:02171-1610
Practice Address - Country:US
Practice Address - Phone:617-328-4044
Practice Address - Fax:617-534-2543
Is Sole Proprietor?:No
Enumeration Date:2006-12-28
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MA391101YA0400X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YA0400XBehavioral Health & Social Service ProvidersCounselorAddiction (Substance Use Disorder)