Individual provider · Type 1 NPI
Brent Kersanske
Mental Health Counselor · Stoneham, MA
NPI number
1063379774
Active
Practice location
28 Summit Rd
Stoneham, MA 02180-2710
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Mental Health Counselor Primary | 101YM0800X | None listed |
Mental Health Counselor: Definition to come...
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About NPI 1063379774
Brent Kersanske's National Provider Identifier is 1063379774, issued on Jan 6, 2026. The primary taxonomy on file is Mental Health Counselor (101YM0800X), and the practice location is in Stoneham, MA. The record was last updated on Jan 6, 2026.