Organization · Type 2 NPI
My Self Oath, Inc
Mental Health Counselor · Brockton, MA
NPI number
1285246959
Active
Practice location
33 Dover St Ste 317
Brockton, MA 02301-5973
Mailing address
80 Old Stone Way Apt 103
Weymouth, MA 02189-2537
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Addiction (Substance Use Disorder) Counselor | 101YA0400X | None listed |
| Mental Health Counselor Primary | 101YM0800X | None listed |
Mental Health Counselor: Definition to come...
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About NPI 1285246959
My Self Oath, Inc's National Provider Identifier is 1285246959, issued on Aug 23, 2020. The primary taxonomy on file is Mental Health Counselor (101YM0800X), and the practice location is in Brockton, MA. The record was last updated on Aug 23, 2020.