Individual
BRANT HOWARD TRAYLOR-KNOWLES
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
245 EUSTIS ST, ROXBURY, MA 02119-2826
(617) 445-1123
Mailing address
59 BURBANK ST APT 3, BOSTON, MA 02115-3636
(617) 834-4205
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
—
—
Other
Enumeration date
06/26/2024
Last updated
06/26/2024
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