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

TaxonomyCodeLicense
Behavior Technician 106S00000XNone listed
Mental Health Counselor Primary 101YM0800XNone listed

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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.