person
Mr. Mickenson St Joy, ASSOCIATEDEGREE
Mental Health Counselor in Brockton, Massachusetts
NPI 1700275476

Mickenson St Joy is a Mental Health Counselor based in Brockton, MA and is specialized in Mental Health. Mickenson St Joy practices in Brockton, MA and has the professional credentials of ASSOCIATEDEGREE. The NPI Number for Mickenson St Joy is 1700275476 and holds a License No. (Massachusetts).

The current practice location address for Mickenson St Joy is 62 Echo St, Brockton, MA and can be reached out via phone at 862-237-0555.

Location: 62 Echo St, Brockton, MA, 02301-6510
person
Provider Profile Details
NPI Number
1700275476
Provider Name
Mickenson St Joy
Credential
ASSOCIATEDEGREE
Provider Entity Type
Individual
Gender
Male
Address
62 Echo St, Brockton, MA, 02301-6510
Phone Number
862-237-0555
Fax Number
Provider Enumeration Date
01/17/2015
Last Update Date
03/09/2024
institution
Provider Business Practice Location Address Details
Address
62 Echo St
City
State
Zip
02301-6510
Phone Number
862-237-0555
Fax Number
person
Provider Business Mailing Address Details
Address
62 Echo St
City
State
Zip
02301-6510
Phone Number
862-237-0555
Fax Number
person
Provider's Taxonomy Details 1
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
Mental Health
Taxonomy
License No.
()
Definition
Definition to come...
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