Ethan Zachary Stein

NPI #1003315730 in Quincy, Massachusetts

Provider Information

NPI Number: 1003315730
Entity Type: Individual
Name: Ethan Zachary Stein
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Counselor - Mental Health
Enumeration Date: Feb 8, 2018
Last Updated: Feb 8, 2018

Practice Location

Address: 460 QUINCY AVE
City: Quincy
State: Massachusetts
ZIP Code: 02169-8130
Phone: (978) 387-9023

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Counselor - Mental Health — Mental Health	101YM0800X	Primary

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