Individual
MR. ELONZO STAFON ABRAHAM JR.
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.ED, CACI
Contact information
Practice address
99 TOPEKA ST, BOSTON, MA 02118-2717
(617) 442-1499
(617) 442-1660
Mailing address
99 TOPEKA ST, BOSTON, MA 02118-2717
(617) 442-1499
(617) 442-1660
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
0902231
SC
Other
Enumeration date
07/19/2010
Last updated
07/19/2010
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