Individual provider · Type 1 NPI
Nike Konstantina Gregory, LICSW
Mental Health Counselor · Medford, MA
NPI number
1376867556
Active
Practice location
42 Thomas St
Medford, MA 02155-4536
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Clinical Social Worker | 1041C0700X | 123330 (MA) |
| Mental Health Counselor Primary | 101YM0800X | None listed |
Mental Health Counselor: Definition to come...
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About NPI 1376867556
Nike Konstantina Gregory, LICSW's National Provider Identifier is 1376867556, issued on Mar 17, 2010. The primary taxonomy on file is Mental Health Counselor (101YM0800X), and the practice location is in Medford, MA. The record was last updated on Mar 9, 2022.