Individual provider · Type 1 NPI

Brandon Terrell-Robert Gholson, M, S

Mental Health Counselor · Boston, MA

NPI number 1639420011 Active

Practice location

313 Congress St
Boston, MA 02210-1218

Call (617) 790-4908 Map

Specialties and licenses

TaxonomyCodeLicense
Mental Health Counselor Primary 101YM0800XNone listed

Mental Health Counselor: Definition to come...

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About NPI 1639420011

Brandon Terrell-Robert Gholson, M, S's National Provider Identifier is 1639420011, issued on Sep 26, 2012. The primary taxonomy on file is Mental Health Counselor (101YM0800X), and the practice location is in Boston, MA. The record was last updated on Sep 26, 2012.