person
Mr. Elonzo Stafon Abraham JR., MED,CACI
Addiction (Substance Use Disorder) Counselor in Boston, Massachusetts
NPI 1609189760

Elonzo Stafon Abraham JR. is an Addiction (Substance Use Disorder) Counselor based in Boston, MA and is specialized in Addiction (Substance Use Disorder). Elonzo Stafon Abraham JR. practices in Boston, MA and has the professional credentials of MED,CACI. The NPI Number for Elonzo Stafon Abraham JR. is 1609189760 and holds a License No. 0902231 (Massachusetts).

The current practice location address for Elonzo Stafon Abraham JR. is 99 Topeka St, Boston, MA and can be reached out via phone at 617-442-1499 and via fax at 617-442-1660.

Location: 99 Topeka St, Boston, MA, 02118-2717
person
Provider Profile Details
NPI Number
1609189760
Provider Name
Elonzo Stafon Abraham JR.
Credential
MED,CACI
Provider Entity Type
Individual
Gender
Male
Address
99 Topeka St, Boston, MA, 02118-2717
Phone Number
617-442-1499
Fax Number
617-442-1660
Provider Enumeration Date
07/19/2010
Last Update Date
03/09/2024
institution
Provider Business Practice Location Address Details
Address
99 Topeka St
City
State
Zip
02118-2717
Phone Number
617-442-1499
Fax Number
617-442-1660
person
Provider Business Mailing Address Details
Address
99 Topeka St
City
State
Zip
02118-2717
Phone Number
617-442-1499
Fax Number
617-442-1660
person
Provider's Taxonomy Details 1
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
Addiction (Substance Use Disorder)
Taxonomy
License No.
0902231 (South Carolina)
Definition
Definition to come...
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