Individual provider · Type 1 NPI

Willie Alton Henry Sr.

Addiction (Substance Use Disorder) Counselor · Brockton, MA

NPI number 1689079113 Active

Practice location

180 Centre St
Brockton, MA 02302-2733

Call (617) 479-0102 Map

Fax (617) 479-0427

Specialties and licenses

TaxonomyCodeLicense
Addiction (Substance Use Disorder) Counselor Primary 101YA0400XNone listed

Addiction (Substance Use Disorder) Counselor: Definition to come...

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About NPI 1689079113

Willie Alton Henry Sr.'s National Provider Identifier is 1689079113, issued on Oct 27, 2014. The primary taxonomy on file is Addiction (Substance Use Disorder) Counselor (101YA0400X), and the practice location is in Brockton, MA. The record was last updated on Oct 27, 2014.