person
Mr. Willie Alton Henry SR.
Addiction (Substance Use Disorder) Counselor in Brockton, Massachusetts
NPI 1689079113

Willie Alton Henry SR. is an Addiction (Substance Use Disorder) Counselor based in Brockton, MA and is specialized in Addiction (Substance Use Disorder). Willie Alton Henry SR. practices in Brockton, MA. The NPI Number for Willie Alton Henry SR. is 1689079113 and holds a License No. (Massachusetts).

The current practice location address for Willie Alton Henry SR. is 180 Centre St, Brockton, MA and can be reached out via phone at 617-479-0102 and via fax at 617-479-0427.

Location: 180 Centre St, Brockton, MA, 02302-2733
person
Provider Profile Details
NPI Number
1689079113
Provider Name
Willie Alton Henry SR.
Credential
Provider Entity Type
Individual
Gender
Male
Address
180 Centre St, Brockton, MA, 02302-2733
Phone Number
617-479-0102
Fax Number
617-479-0427
Provider Enumeration Date
10/27/2014
Last Update Date
03/09/2024
institution
Provider Business Practice Location Address Details
Address
180 Centre St
City
State
Zip
02302-2733
Phone Number
617-479-0102
Fax Number
617-479-0427
person
Provider Business Mailing Address Details
Address
180 Centre St
City
State
Zip
02302-2733
Phone Number
617-479-0102
Fax Number
617-479-0427
person
Provider's Taxonomy Details 1
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
Addiction (Substance Use Disorder)
Taxonomy
License No.
()
Definition
Definition to come...
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