MR. Ryan Boursiquot
NPI #1912495540 in Roxbury, Massachusetts
Provider Information
- NPI Number
- 1912495540
- Entity Type
- Individual
- Name
- MR. Ryan Boursiquot
- Gender
- Not Specified
- Sole Proprietor
- No
- Primary Specialty
- Counselor - Mental Health
- Enumeration Date
- Apr 30, 2018
- Last Updated
- Apr 30, 2018
Practice Location
- Address
- 520 DUDLEY ST
- City
- Roxbury
- State
- Massachusetts
- ZIP Code
- 02119-2769
- Phone
- (617) 989-9499
Specialties & Taxonomy Codes
| Specialty |
|---|
| Counselor - Mental Health — Mental Health |
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