Individual
MS. CARMICHAH JEAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
M.A., LMHC
Contact information
Practice address
110 MULBERRY ST, BROCKTON, MA 02302-2066
(774) 776-3633
(508) 427-1588
Mailing address
110 MULBERRY ST, BROCKTON, MA 02302-2066
(774) 776-3633
(508) 427-1588
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
—
—
Other
Enumeration date
07/12/2019
Last updated
02/04/2025
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