Individual provider · Type 1 NPI

Madison Detwiler

Mental Health Counselor · Brookline, MA

NPI number 1326670936 Active

Practice location

1180 Beacon St Ste 4C
Brookline, MA 02446-3806

Specialties and licenses

TaxonomyCodeLicense
Mental Health Counselor Primary 101YM0800X10001975 (MA)
Behavior Technician 106S00000X19-106453 (AR)

Mental Health Counselor: Definition to come...

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About NPI 1326670936

Madison Detwiler's National Provider Identifier is 1326670936, issued on Feb 11, 2020. The primary taxonomy on file is Mental Health Counselor (101YM0800X), and the practice location is in Brookline, MA. The record was last updated on Sep 11, 2026.