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NPI Code Detail

MEDICARE: SHUBH AGRAWAL M.ED., C.A.S.

MEDICARE: SHUBH AGRAWAL M.ED., C.A.S.
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1101YS0200XSchool Counselor504672MA
2101YM0800XMental Health Counselor

General Provider Information

NPI Number : 1871262436
Entity Type Code : Individual
Provider Name (Legal Business Name) : SHUBH AGRAWAL M.ED., C.A.S.
Provider Business Mailing Address
First Line : 61 LAMPLIGHTER DR
Second Line :
City : SHREWSBURY
State : MA
Zip : 01545-5456
Country : US
Telephone Number : 774-232-8183
Fax Number :
Provider Business Practice Location Address
First Line : 20 WEBSTER ST APT 410
Second Line :
City : BROOKLINE
State : MA
Zip : 02446-4964
Country : US
Telephone Number : 774-232-8183
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 09/08/2021
Last Update Date : 09/08/2021

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Directions to “ SHUBH AGRAWAL M.ED., C.A.S.” Practice Location

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