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Larisa Goncharuk
Mental Health Counselor in Brockton, Massachusetts
NPI 1740931674

Larisa Goncharuk is a Mental Health Counselor based in Brockton, MA and is specialized in Mental Health. Larisa Goncharuk practices in Brockton, MA. The NPI Number for Larisa Goncharuk is 1740931674 and holds a License No. (Massachusetts).

The current practice location address for Larisa Goncharuk is 231 Main St Ste 300, Brockton, MA and can be reached out via phone at 508-586-2660.

Location: 231 Main St Ste 300, Brockton, MA, 02301-4342
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1740931674
Provider Name
Larisa Goncharuk
Credential
Provider Entity Type
Individual
Gender
Female
Address
231 Main St Ste 300, Brockton, MA, 02301-4342
Phone Number
508-586-2660
Fax Number
Provider Enumeration Date
01/12/2022
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
231 Main St Ste 300
City
Brockton
State
Massachusetts
Zip
02301-4342
Phone Number
508-586-2660
Fax Number
person
Provider Business Mailing Address Details
Address
231 Main St Ste 300
City
Brockton
State
Massachusetts
Zip
02301-4342
Phone Number
508-586-2660
Fax Number
person
Provider's Taxonomy Details 1
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
Mental Health
Taxonomy
101YM0800X
License No.
()
Definition
Definition to come...
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