Individual
BRIAN RONALD EDGAR WILLMER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
LMHC
Contact information
Practice address
275 W BROADWAY, SOUTH BOSTON, MA 02127-1943
(617) 464-8571
(617) 269-9287
Mailing address
686 N MAIN ST, BROCKTON, MA 02301-2444
(508) 587-0815
(617) 832-7437
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
6394
MA
Other
Enumeration date
07/28/2010
Last updated
08/04/2010
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