Individual provider · Type 1 NPI

Charles Deloatch Jr.

Mental Health Counselor · West Roxbury, MA

NPI number 1730445966 Active

Practice location

540 Vfw Pkwy
West Roxbury, MA 02132-1332

Call (617) 325-2993 Map

Fax (617) 325-5618

Specialties and licenses

TaxonomyCodeLicense
Mental Health Counselor Primary 101YM0800XNone listed

Mental Health Counselor: Definition to come...

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About NPI 1730445966

Charles Deloatch Jr.'s National Provider Identifier is 1730445966, issued on Apr 2, 2012. The primary taxonomy on file is Mental Health Counselor (101YM0800X), and the practice location is in West Roxbury, MA. The record was last updated on Apr 2, 2012.