Medeiros, Traci Jean

Medeiros, Traci Jean is an individual health care provider with primary practice located at 14 Fordham Rd , Allston MA 02134-3006. She recently has only one registered license in Behavioral Health & Social Service Providers / Counselor, which is considered as her primary health care specialty. Medeiros, Traci Jean can be contacted via phone (617) 782-6460.

Contact Information

Primary practice address
14 Fordham Rd Allston MA 02134-3006
Phone: (617) 782-6460
Fax:
Website:
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Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Counselor 101Y00000X

Profile Details

NPI number 1942328828
LBN Legal business name Medeiros, Traci Jean
Credentials Bachelor of Arts (BA)
Entity Individual
Sole proprietor 1 No
Enumeration date Mar 27th, 2007
Last updated Jul 8th, 2007 - about 17 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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