Individual provider · Type 1 NPI

Krystle Gwendolyn Perez, MA

Counselor · Mattapan, MA

NPI number 1811295405 Active

Practice location

1613 Blue Hill Ave, Suite 302
Mattapan, MA 02126-2123

Mailing address

811 Norwest Dr
Norwood, MA 02062-1485

Specialties and licenses

TaxonomyCodeLicense
Counselor Primary 101Y00000XNone listed

Counselor: A provider who is trained and educated in the performance of behavior health services through interpersonal communications and analysis. Training and education at the specialty level usually requires a master's degree and clinical experience and supervision for licensure or certification.

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About NPI 1811295405

Krystle Gwendolyn Perez, MA's National Provider Identifier is 1811295405, issued on Mar 4, 2011. The primary taxonomy on file is Counselor (101Y00000X), and the practice location is in Mattapan, MA. The record was last updated on Mar 4, 2011.