Jonathan Thibault
Jonathan Thibault is a Mental Health Counselor in Brockton, Massachusetts. Registered with an NPI since 2021.
- In the registry since
- 2021
Practice location Address checks out
56 Cherry StBrockton, MA 02301-2608
Phone: (508) 580-0801
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Specialties & licences
| Mental Health Counselor (primary) | Taxonomy 101YM0800X |
|---|
Record details
| NPI number | 1679151286 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Male |
| Sole proprietor | No |
| NPI enumerated | April 2, 2021 |
| Last updated in NPPES | May 1, 2024 |
| Certification date | May 1, 2024 |
| Mailing address | 117 Eastman St, South Easton, MA 02375-1363 |
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