Individual
BRIAN C GAMBOA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
3 ASHLAWN RD, ASSONET, MA 02702-1105
(508) 933-5205
(877) 308-2202
Mailing address
3 ASHLAWN RD, ASSONET, MA 02702-1105
(508) 933-5205
(877) 308-2202
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
—
—
Other
Enumeration date
10/08/2010
Last updated
02/03/2021
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