Individual
CHRISTOPHER JOHN MEDEIROS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
LMHC
Contact information
Practice address
157 GREEN ST, JAMAICA PLAIN, MA 02130-2667
(617) 390-1454
Mailing address
3305 WASHINGTON ST, APT 2, JAMAICA PLAIN, MA 02130-2639
(617) 620-0121
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
1304
MA
Other
Enumeration date
02/26/2013
Last updated
02/26/2013
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