Provider Demographics
NPI:1790001592
Name:CARRIER, DONALD LEE (LMHC)
Entity Type:Individual
Prefix:MR
First Name:DONALD
Middle Name:LEE
Last Name:CARRIER
Suffix:
Gender:M
Credentials:LMHC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:61 MAPLE ST
Mailing Address - Street 2:
Mailing Address - City:MELROSE
Mailing Address - State:MA
Mailing Address - Zip Code:02176-3014
Mailing Address - Country:US
Mailing Address - Phone:781-662-2719
Mailing Address - Fax:
Practice Address - Street 1:85 E NEWTON ST RM 504
Practice Address - Street 2:
Practice Address - City:BOSTON
Practice Address - State:MA
Practice Address - Zip Code:02118-2340
Practice Address - Country:US
Practice Address - Phone:800-981-4357
Practice Address - Fax:617-414-8306
Is Sole Proprietor?:Yes
Enumeration Date:2010-04-19
Last Update Date:2010-04-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MA565101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health