Individual provider · Type 1 NPI
Izaiah Dimanche-Silva
Mental Health Counselor · Brockton, MA
NPI number
1730724931
Active
Practice location
5 Addison St
Brockton, MA 02301-1401
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 1730724931
Izaiah Dimanche-Silva's National Provider Identifier is 1730724931, issued on Nov 12, 2019. The primary taxonomy on file is Mental Health Counselor (101YM0800X), and the practice location is in Brockton, MA. The record was last updated on Nov 12, 2019.