Elijah Tyler Andrade
Elijah Tyler Andrade is a Mental Health Counselor in Brockton, Massachusetts. Registered with an NPI since 2023.
- In the registry since
- 2023
Practice location Address checks out
30 Oak St Ext Apt 107Brockton, MA 02301-1161
Phone: (404) 820-3015
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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 | 1427737147 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Male |
| Sole proprietor | No |
| NPI enumerated | July 12, 2023 |
| Last updated in NPPES | July 12, 2023 |
| Certification date | July 12, 2023 |
| Mailing address | 54 N Main St, Brockton, MA 02301-3907 |
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