Individual provider · Type 1 NPI

Jessica Sandoval

Mental Health Counselor · Brockton, MA

NPI number 1962988931 Active

Practice location

103 Commercial St
Brockton, MA 02302-3133

Mailing address

11 Phyllis Dr
Randolph, MA 02368-2722

Specialties and licenses

TaxonomyCodeLicense
Mental Health Counselor Primary 101YM0800X10004701 (MA)

Mental Health Counselor: Definition to come...

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About NPI 1962988931

Jessica Sandoval's National Provider Identifier is 1962988931, issued on Jul 12, 2018. The primary taxonomy on file is Mental Health Counselor (101YM0800X), and the practice location is in Brockton, MA. The record was last updated on Apr 9, 2026.