My Self Oath, INC
NPI #1285246959 in Brockton, Massachusetts
Provider Information
- NPI Number
- 1285246959
- Entity Type
- Organization
- Organization Name
- My Self Oath, INC
- Primary Specialty
- Counselor - Mental Health
- Enumeration Date
- Aug 23, 2020
- Last Updated
- Aug 23, 2020
Practice Location
- Address
- 33 DOVER ST STE 317
- City
- Brockton
- State
- Massachusetts
- ZIP Code
- 02301-5973
- Phone
- (508) 521-9044
Authorized Official
- Name
- MISS YLEIS ASHLEY ENGERMAN, LADCI, LMHC
- Title
- PRACTICE OWNER
- Phone
- (508) 521-9044
Specialties & Taxonomy Codes
| Specialty |
|---|
| Counselor - Addiction (Substance Use Disorder) — Addiction (Substance Use Disorder) |
| Counselor - Mental Health — Mental Health |
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