Individual
MARCUS ALEXIS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MA
Contact information
Practice address
44 MCPHERSON RD, STOUGHTON, MA 02072-3248
(617) 905-3267
Mailing address
44 MCPHERSON RD, STOUGHTON, MA 02072-3248
(617) 905-3267
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
—
—
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
—
—
101YM0800X
Mental Health Counselor
—
—
101YP2500X
Professional Counselor
—
—
Other
Enumeration date
04/12/2019
Last updated
04/12/2019
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