JACOB MOURTADA
NPI 1184238198
Counselor - Mental Health in Marlborough, MA
Active since September 08, 2020
About Jacob Mourtada NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
JACOB MOURTADA (NPI 1184238198) is an individual mental health provider in Marlborough, Massachusetts and active in the NPI registry since September 2020.
NPPES Registry Identity
NPI1184238198
Entity TypeIndividualMale
Primary Taxonomy101YM0800X
Provider Legal NameJACOB MOURTADA
Location Address340 MAPLE STMarlborough, MA 01752-3200
Mailing Address5 Laurel Tree DrFoxboro, MA 02035-1747 · (508) 641-2272
Phone(508) 485-9300
Sole ProprietorYes
Enumeration DateSeptember 8, 2020
NPPES CertifiedSeptember 8, 2020
✔ NPI 1184238198 is a valid, active identifier and passes the ISO check-digit test.
Specialties & Licenses
★ Primary SpecialtyCounselor · Mental HealthBehavioral Health & Social Service Providers
Taxonomy Code101YM0800X
340 MAPLE ST, Marlborough, MA 01752
Other Providers at the Same Location NPPES 20
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
Social Worker (Clinical)
340 MAPLE ST, ADVOCATES COMMUNITY COUNSELING, 4TH FLOOR
MARLBOROUGH, MA 01752
MARLBOROUGH, MA 01752
Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1184238198, enumerated as an "individual" on September 08, 2020.
The provider is located at 340 MAPLE ST MARLBOROUGH, MA 01752 and the phone number is (508) 485-9300.
Counselor with taxonomy code 101YM0800X and a focus in Mental Health.
