Individual provider · Type 1 NPI

Michael Blandon

Mental Health Counselor · Brockton, MA

NPI number 1477098549 Active

Practice location

1115 W Chestnut St Ste 101
Brockton, MA 02301-7501

Mailing address

20 William St
Worcester, MA 01609-4622

Specialties and licenses

TaxonomyCodeLicense
Mental Health Counselor Primary 101YM0800XNone listed

Mental Health Counselor: Definition to come...

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About NPI 1477098549

Michael Blandon's National Provider Identifier is 1477098549, issued on Dec 28, 2016. The primary taxonomy on file is Mental Health Counselor (101YM0800X), and the practice location is in Brockton, MA. The record was last updated on Dec 28, 2016.