Individual provider · Type 1 NPI
Kyle Joseph Medeiros
Addiction (Substance Use Disorder) Counselor · Brighton, MA
NPI number
1053802884
Active
Practice location
77 Warren St Bldg 5
Brighton, MA 02135-3601
Fax (617) 782-7668
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Addiction (Substance Use Disorder) Counselor Primary | 101YA0400X | None listed |
Addiction (Substance Use Disorder) Counselor: Definition to come...
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- Ann Marie Dodd, LPNLicensed Practical Nurse Brighton, MA NPI 1447910609
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- Amanda KuronAddiction (Substance Use Disorder) Counselor Brighton, MA NPI 1285294843
About NPI 1053802884
Kyle Joseph Medeiros's National Provider Identifier is 1053802884, issued on May 29, 2018. The primary taxonomy on file is Addiction (Substance Use Disorder) Counselor (101YA0400X), and the practice location is in Brighton, MA. The record was last updated on May 29, 2018.