Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 101YS0200X | School Counselor |
NPI | 1033580899 |
---|---|
Provider Name | Brad Morel |
First Address | New Bedford, MA 02745-3621 |
Second Address | Taunton, MA 02780-3960 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 19/10/2015 |
Last Update Date | 19/10/2015 |