Brian C Gamboa
Brian C Gamboa is a Mental Health Counselor in Assonet, Massachusetts. Qualified in 2010, 16 years ago. Practices as a sole proprietor and offers telehealth.
- Years since qualifying
- 16
- In the registry since
- 2010
Practice location Address checks out
3 Ashlawn RdAssonet, MA 02702-1105
Phone: (508) 933-5205
Fax: (877) 308-2202
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Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Mental Health Counselor (primary) | Taxonomy 101YM0800X |
|---|
Record details
| NPI number | 1942510052 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Male |
| Sole proprietor | Yes |
| NPI enumerated | October 8, 2010 |
| Last updated in NPPES | February 3, 2021 |
| Certification date | February 3, 2021 |
| Mailing address | 3 Ashlawn Rd, Assonet, MA 02702-1105 |
Medicare enrollment
| Medicare specialty | MENTAL HEALTH COUNSELOR |
|---|---|
| Medical school | OTHER |
| Graduated | 2010 (16 years in practice) |
| Accepts Medicare assignment | Not indicated |
| Telehealth | Offers telehealth services |
Other providers in Assonet
-
Heath Travis Kulpa
9 Jethol Dr, Assonet, MA 02702-1948 · (508) 965-8359
-
Stavroula Kulpa, MED, CAGS, LMH
9 Jethol Dr, Assonet, MA 02702-1948 · (508) 306-0560
-
Mr. Thomas David Loftus, MS, LMHC
22 Joaquin Ave, Assonet, MA 02702-1566 · (508) 644-5307
-
Jillian H Pavadore, MA, LMHC
18 Central Ave, Assonet, MA 02702-1358 · (774) 306-7114