Individual provider · Type 1 NPI

Chaquita Bascom

Counselor · Roxbury, MA

NPI number 1376489831 Active

Practice location

520 Dudley St
Roxbury, MA 02119-2769

Call (617) 445-6655 Map

Mailing address

42 Belmont St
Rockland, MA 02370-2202

Specialties and licenses

TaxonomyCodeLicense
Counselor Primary 101Y00000XNone listed

Counselor: A provider who is trained and educated in the performance of behavior health services through interpersonal communications and analysis. Training and education at the specialty level usually requires a master's degree and clinical experience and supervision for licensure or certification.

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About NPI 1376489831

Chaquita Bascom's National Provider Identifier is 1376489831, issued on Apr 27, 2026. The primary taxonomy on file is Counselor (101Y00000X), and the practice location is in Roxbury, MA. The record was last updated on Apr 27, 2026.