Individual
MR. BRANDON TERRELL-ROBERT GHOLSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M,S,
Contact information
Practice address
313 CONGRESS ST, BOSTON, MA 02210-1218
(617) 790-4908
Mailing address
313 CONGRESS ST, BOSTON, MA 02210-1218
(617) 790-4908
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
—
MA
Other
Enumeration date
09/26/2012
Last updated
09/26/2012
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