Individual provider · Type 1 NPI
Cyrese M. Proctor, MA
Mental Health Counselor · New Bedford, MA
NPI number
1720282965
Active
Practice location
38 Russell St
New Bedford, MA 02740-4912
Mailing address
PO Box 5023
New Bedford, MA 02742-5023
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 1720282965
Cyrese M. Proctor, MA's National Provider Identifier is 1720282965, issued on Jun 12, 2007. The primary taxonomy on file is Mental Health Counselor (101YM0800X), and the practice location is in New Bedford, MA. The record was last updated on Jul 8, 2007.