Individual provider · Type 1 NPI

Jelissa Guy

Mental Health Counselor · Brockton, MA

NPI number 1346611787 Active

Practice location

10 Meadowbrook Rd
Brockton, MA 02301-7122

Mailing address

41 Foundry St, 21-7
South Easton, MA 02375-1723

Specialties and licenses

TaxonomyCodeLicense
Mental Health Counselor Primary 101YM0800XNone listed

Mental Health Counselor: Definition to come...

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About NPI 1346611787

Jelissa Guy's National Provider Identifier is 1346611787, issued on Oct 12, 2015. 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, 2015.