Doctor Name: | ANDREW STEVEN KERHOULAS |
NPI Number: | 1164793980 |
Entity Type Code: | Individual (1) |
Gender: | M |
Credentials: | |
License Number: | |
Business Practice Address: | 130 Essex St South Hamilton, MA - 019822325 |
Business Phone Number: | 8284213360 |
Business Fax Number: | |
Mailing Address: | 130 Essex Street, SOUTH HAMILTON |
State: | MA |
Postal Code: | 01982 |
Phone Number: | 8284213360 |
Fax Number: | |
NPI Enumeration Date: | 01/25/2012 |
NPI Last Update Date: | 01/25/2012 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 101Y00000X |
License Number: | |
Healthcare Provider Taxonomy: (Secondary) | Y |
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Taxonomy Type: | Behavioral Health & Social Service Providers |
Taxonomy Classification: | Counselor |
Taxonomy Specialization: | |
Taxonomy Definition: | A provider who is trained and educated in the performance of behavior health services through interpersonal communications and analysis. Training and education at the specialty level usually requires a master |