Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Desiree Etienne

Individual provider Counselor · NPI 1164126611

Desiree Etienne is a Counselor in Boston, Massachusetts. Registered with an NPI since 2023.

In the registry since
2023
Specialties on file
4

Practice location Address checks out

44 Moultrie St
Boston, MA 02124-2230
Phone: (617) 615-6577
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Addiction (Substance Use Disorder) Counselor (primary) Taxonomy 101YA0400X
Counselor Taxonomy 101Y00000X
Pastoral Counselor Taxonomy 101YP1600X
Rehabilitation Counselor Taxonomy 225C00000X

Record details

NPI number1164126611
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorNo
NPI enumeratedMarch 29, 2023
Last updated in NPPESMarch 22, 2024
Certification dateMarch 22, 2024
Mailing addressPo Box 1159, Randolph, MA 02368-1159

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