Individual provider · Type 1 NPI

Etinosasere Woghiren

Mental Health Counselor · Brockton, MA

NPI number 1669327433 Active

Practice location

19 Riverside Ave
Brockton, MA 02301-6898

Mailing address

975 Court St
Brockton, MA 02302-2632

Specialties and licenses

TaxonomyCodeLicense
Mental Health Counselor Primary 101YM0800XNone listed

Mental Health Counselor: Definition to come...

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About NPI 1669327433

Etinosasere Woghiren's National Provider Identifier is 1669327433, issued on Feb 26, 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 Feb 26, 2026.