Individual provider · Type 1 NPI

Marlon Robert Braddock, M.A.

Mental Health Counselor · Quincy, MA

NPI number 1245314731 Active

Practice location

12 Hancock Ct
Quincy, MA 02169-5210

Mailing address

42R Shepard St, Apartment #2
Brighton, MA 02135-3349

Specialties and licenses

TaxonomyCodeLicense
Mental Health Counselor Primary 101YM0800XNone listed

Mental Health Counselor: Definition to come...

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About NPI 1245314731

Marlon Robert Braddock, M.A.'s National Provider Identifier is 1245314731, issued on Oct 24, 2006. The primary taxonomy on file is Mental Health Counselor (101YM0800X), and the practice location is in Quincy, MA. The record was last updated on Jul 8, 2007.