Individual
BRENT THIBAULT
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MA, LMHC
Contact information
Practice address
32 HAMILTON AVE, MILFORD, MA 01757-1748
(508) 634-3420
Mailing address
32 HAMILTON AVE, MILFORD, MA 01757-1748
(508) 634-3420
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
5008
MA
Other
Enumeration date
02/16/2017
Last updated
02/16/2017
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