Individual provider · Type 1 NPI

Matthew Blythe Gradin

Counselor · Allston, MA

NPI number 1053834788 Active

Practice location

14 Fordham Road
Allston, MA 02134

Mailing address

14 Fordham Rd
Allston, MA 02134-3006

Specialties and licenses

TaxonomyCodeLicense
Counselor Primary 101Y00000XNone listed

Counselor: A provider who is trained and educated in the performance of behavior health services through interpersonal communications and analysis. Training and education at the specialty level usually requires a master's degree and clinical experience and supervision for licensure or certification.

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About NPI 1053834788

Matthew Blythe Gradin's National Provider Identifier is 1053834788, issued on Jul 25, 2017. The primary taxonomy on file is Counselor (101Y00000X), and the practice location is in Allston, MA. The record was last updated on Jul 25, 2017.