Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 101YA0400X | Addiction Counselor (Substance Use Disorder) | 1409 | MA |
Y | 101YM0800X | Mental Health Counselor | 4948 | MA |
NPI | 1013048818 |
---|---|
Provider Name | Ms. Janet F. Salvador |
First Address | Brockton, MA 02302 |
Second Address | Falmouth, MA 02540-2525 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 07/03/2007 |
Last Update Date | 11/12/2013 |