Individual
AMANDA K JABLONSKI
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MA
Contact information
Practice address
1115 W CHESTNUT ST, SOUTH BAY MENTAL HEALTH, BROCKTON, MA 02301-7501
(508) 580-4691
(508) 588-5751
Mailing address
1115 W CHESTNUT ST, BROCKTON, MA 02301-7501
(508) 580-4691
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
—
—
Other
Enumeration date
12/11/2006
Last updated
12/12/2011
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