Individual provider · Type 1 NPI

Jackson Josaphat

Mental Health Counselor · Braintree, MA

NPI number 1720952369 Active

Practice location

1501 Washington St
Braintree, MA 02184-7599

Call (617) 847-1950 Map

Mailing address

14 Francis Dr Apt 5
Randolph, MA 02368-3321

Other practice locations

  • 460 Quincy Ave, Quincy, MA 02169-8130 · (617) 847-1950

Specialties and licenses

TaxonomyCodeLicense
Mental Health Counselor Primary 101YM0800XNone listed

Mental Health Counselor: Definition to come...

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About NPI 1720952369

Jackson Josaphat's National Provider Identifier is 1720952369, issued on Oct 4, 2025. The primary taxonomy on file is Mental Health Counselor (101YM0800X), and the practice location is in Braintree, MA. The record was last updated on Oct 4, 2025.