Individual provider · Type 1 NPI
Courtney Packard
Mental Health Counselor · Roxbury, MA
NPI number
1558039602
Active
Practice location
504 Dudley St
Roxbury, MA 02119-2732
Mailing address
504 Dudley St # Ma
Roxbury, MA 02119-2732
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Behavior Technician | 106S00000X | None listed |
| Mental Health Counselor Primary | 101YM0800X | None listed |
Mental Health Counselor: Definition to come...
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About NPI 1558039602
Courtney Packard's National Provider Identifier is 1558039602, issued on Sep 2, 2021. The primary taxonomy on file is Mental Health Counselor (101YM0800X), and the practice location is in Roxbury, MA. The record was last updated on Aug 23, 2023.