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Mr. Trevor Bray-bustos
Mental Health Counselor in Athol, Massachusetts
NPI 1033825765

Trevor Bray-bustos is a Mental Health Counselor based in Athol, MA and is specialized in Mental Health. Trevor Bray-bustos practices in Athol, MA. The NPI Number for Trevor Bray-bustos is 1033825765 and holds a License No. (Massachusetts).

The current practice location address for Trevor Bray-bustos is 2033 Main St Ste 2, Athol, MA and can be reached out via phone at 978-249-9490.

Location: 2033 Main St Ste 2, Athol, MA, 01331-3535
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1033825765
Provider Name
Trevor Bray-bustos
Credential
Provider Entity Type
Individual
Gender
Male
Address
2033 Main St Ste 2, Athol, MA, 01331-3535
Phone Number
978-249-9490
Fax Number
Provider Enumeration Date
01/26/2023
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
2033 Main St Ste 2
City
Athol
State
Massachusetts
Zip
01331-3535
Phone Number
978-249-9490
Fax Number
person
Provider Business Mailing Address Details
Address
2033 Main St Ste 2
City
Athol
State
Massachusetts
Zip
01331-3535
Phone Number
978-249-9490
Fax Number
person
Provider's Taxonomy Details 1
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
Mental Health
Taxonomy
101YM0800X
License No.
()
Definition
Definition to come...
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