Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Jessica Sandoval

Individual provider Mental Health Counselor · NPI 1962988931

Jessica Sandoval is a Mental Health Counselor in Brockton, Massachusetts. Practices as a sole proprietor. Licensed in Massachusetts.

Licensed in
MA
In the registry since
2018

Practice location Address checks out

103 Commercial St
Brockton, MA 02302-3133
Phone: (508) 223-4691
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Mental Health Counselor (primary) Taxonomy 101YM0800X · Licence 10004701 (MA)

Record details

NPI number1962988931
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorYes
NPI enumeratedJuly 12, 2018
Last updated in NPPESApril 9, 2026
Certification dateApril 9, 2026
Mailing address11 Phyllis Dr, Randolph, MA 02368-2722

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