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Miguel Rodrigo Rivera Roman
Counselor in Boston, Massachusetts
NPI 1609510098

Miguel Rodrigo Rivera Roman is a Counselor based in Springfield, MA. Miguel Rodrigo Rivera Roman practices in Boston, MA. The NPI Number for Miguel Rodrigo Rivera Roman is 1609510098 and holds a License No. (Massachusetts).

The current practice location address for Miguel Rodrigo Rivera Roman is 480 William F Mcclellan Hwy Ste 302, Boston, MA and can be reached out via phone at 857-264-0965 and via fax at 413-455-2990.

Location: 480 William F Mcclellan Hwy Ste 302, Boston, MA, 01105-2509
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1609510098
Provider Name
Miguel Rodrigo Rivera Roman
Credential
Provider Entity Type
Individual
Gender
Male
Address
480 William F Mcclellan Hwy Ste 302, Boston, MA, 01105-2509
Phone Number
857-264-0965
Fax Number
413-455-2990
Provider Enumeration Date
04/22/2022
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
480 William F Mcclellan Hwy Ste 302
City
Boston
State
Massachusetts
Zip
02128-1389
Phone Number
857-264-0965
Fax Number
413-455-2990
person
Provider Business Mailing Address Details
Address
480 William F Mcclellan Hwy Ste 302
City
Boston
State
Massachusetts
Zip
02128-1389
Phone Number
857-264-0965
Fax Number
413-455-2990
person
Provider's Taxonomy Details 1
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
-
Taxonomy
101Y00000X
License No.
()
Definition
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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