Individual provider · Type 1 NPI

Elonzo Stafon Abraham Jr., M.ED, CACI

Addiction (Substance Use Disorder) Counselor · Boston, MA

NPI number 1609189760 Active

Practice location

99 Topeka St
Boston, MA 02118-2717

Call (617) 442-1499 Map

Fax (617) 442-1660

Specialties and licenses

TaxonomyCodeLicense
Addiction (Substance Use Disorder) Counselor Primary 101YA0400X0902231 (SC)

Addiction (Substance Use Disorder) Counselor: Definition to come...

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About NPI 1609189760

Elonzo Stafon Abraham Jr., M.ED, CACI's National Provider Identifier is 1609189760, issued on Jul 19, 2010. The primary taxonomy on file is Addiction (Substance Use Disorder) Counselor (101YA0400X), and the practice location is in Boston, MA. The record was last updated on Jul 19, 2010.