Individual provider · Type 1 NPI
Elijah Tyler Andrade
Mental Health Counselor · Brockton, MA
NPI number
1427737147
Active
Practice location
30 Oak St Ext Apt 107
Brockton, MA 02301-1161
Mailing address
54 N Main St
Brockton, MA 02301-3907
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 1427737147
Elijah Tyler Andrade's National Provider Identifier is 1427737147, issued on Jul 12, 2023. The primary taxonomy on file is Mental Health Counselor (101YM0800X), and the practice location is in Brockton, MA. The record was last updated on Jul 12, 2023.