Individual provider · Type 1 NPI
Jacquelyn Mae Grasso, BS IN PSYCHOLOGY
Counselor · Brockton, MA
NPI number
1518449123
Active
Practice location
140 School St
Brockton, MA 02302
Fax (508) 427-6258
Mailing address
10 Meadowbrook Rd
Brockton, MA 02301-7122
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Counselor Primary | 101Y00000X | None 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 1518449123
Jacquelyn Mae Grasso, BS IN PSYCHOLOGY's National Provider Identifier is 1518449123, issued on Aug 30, 2018. The primary taxonomy on file is Counselor (101Y00000X), and the practice location is in Brockton, MA. The record was last updated on Sep 11, 2018.