Individual provider · Type 1 NPI
Fabiola Theodore
Mental Health Counselor · Brockton, MA
NPI number
1629988225
Active
Practice location
28 Clemens Ave
Brockton, MA 02302-2155
Mailing address
4 Post Office Sq
Taunton, MA 02780-3207
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 1629988225
Fabiola Theodore's National Provider Identifier is 1629988225, issued on Sep 8, 2026. The primary taxonomy on file is Mental Health Counselor (101YM0800X), and the practice location is in Brockton, MA. The record was last updated on Sep 8, 2026.