Individual
ANTONIO AQUINO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MA, PHD
Contact information
Practice address
302 EUSTIS ST, ROXBURY, MA 02119-3800
(781) 493-4196
Mailing address
302 EUSTIS ST, ROXBURY, MA 02119-3800
(781) 493-4196
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
—
—
101YP1600X
Pastoral Counselor
—
CT
103T00000X
Psychologist
Primary
—
FL
Other
Enumeration date
09/28/2023
Last updated
09/28/2023
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