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Mr. Kendrick Maurice Ellison JR.
Mental Health Counselor in Boston, Massachusetts
NPI 1407225345

Kendrick Maurice Ellison JR. is a Mental Health Counselor based in Boston, MA and is specialized in Mental Health. Kendrick Maurice Ellison JR. practices in Boston, MA. The NPI Number for Kendrick Maurice Ellison JR. is 1407225345 and holds a License No. S11267675 (Massachusetts).

The current practice location address for Kendrick Maurice Ellison JR. is 714 Blue Hill Ave Apt 3, Boston, MA and can be reached out via phone at 617-637-0434.

Location: 714 Blue Hill Ave Apt 3, Boston, MA, 02121-3239
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1407225345
Provider Name
Kendrick Maurice Ellison JR.
Credential
Provider Entity Type
Individual
Gender
Male
Address
714 Blue Hill Ave Apt 3, Boston, MA, 02121-3239
Phone Number
617-637-0434
Fax Number
Provider Enumeration Date
09/22/2015
Last Update Date
03/09/2024
institution
Provider Business Practice Location Address Details
Address
714 Blue Hill Ave Apt 3
City
Boston
State
Massachusetts
Zip
02121-3239
Phone Number
617-637-0434
Fax Number
person
Provider Business Mailing Address Details
Address
714 Blue Hill Ave Apt 3
City
Boston
State
Massachusetts
Zip
02121-3239
Phone Number
617-637-0434
Fax Number
person
Provider's Taxonomy Details 1
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
Mental Health
Taxonomy
101YM0800X
License No.
S11267675 (Massachusetts)
Definition
Definition to come...
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