Individual
AMINATA BETTS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1115 W CHESTNUT ST, BROCKTON, MA 02301-7501
(508) 580-4691
Mailing address
173 PROGRESS AVE, PROVIDENCE, RI 02909-3858
(401) 464-9660
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
—
—
172V00000X
Community Health Worker
—
—
Other
Enumeration date
07/18/2013
Last updated
09/04/2020
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