Individual provider · Type 1 NPI
Marie Andre
Mental Health Counselor · Brockton, UM
NPI number
1619416161
Active
Practice location
103 Commercial Street
Brockton, UM 02301
Mailing address
32 Lansdowne Street
Brockton, MA 02301
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Mental Health Counselor Primary | 101YM0800X | None listed |
Mental Health Counselor: Definition to come...
About NPI 1619416161
Marie Andre's National Provider Identifier is 1619416161, issued on Feb 16, 2017. The primary taxonomy on file is Mental Health Counselor (101YM0800X), and the practice location is in Brockton, UM. The record was last updated on Feb 16, 2017.