Individual provider · Type 1 NPI
Tristan Leibu
Mental Health Counselor · Brockton, MA
NPI number
1285986307
Active
Practice location
1115 W Chestnut St
Brockton, MA 02301-7501
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 1285986307
Tristan Leibu's National Provider Identifier is 1285986307, issued on Oct 12, 2012. The primary taxonomy on file is Mental Health Counselor (101YM0800X), and the practice location is in Brockton, MA. The record was last updated on Oct 12, 2012.