Individual provider · Type 1 NPI
Gabrielle Mikorenda
Mental Health Counselor · Boston, MA
NPI number
1609423631
Active
Practice location
520 Dudley St
Boston, MA 02119-2769
Mailing address
5 Wesley St Apt 1
Newton, MA 02458-1964
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Mental Health Counselor Primary | 101YM0800X | None listed |
Mental Health Counselor: Definition to come...
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About NPI 1609423631
Gabrielle Mikorenda's National Provider Identifier is 1609423631, issued on Aug 23, 2019. The primary taxonomy on file is Mental Health Counselor (101YM0800X), and the practice location is in Boston, MA. The record was last updated on Aug 23, 2019.