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Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

MISS NIKE KONSTANTINA GREGORY, LICSW

Active Sole Proprietor

MISS NIKE KONSTANTINA GREGORY, LICSW is a Mental Health Counselor healthcare provider located in MEDFORD, Massachusetts. NPI 1376867556 is currently active in the NPPES registry. Verify at CMS.

Mental Health Counselor · MEDFORD, MA

Registration Details

NPI Number
1376867556
Provider Type
Individual
Gender
Female
NPI Issued
Mar 17, 2010 (16.385530357028 yrs)
Last Updated
Mar 9, 2022
License
123330 (MA)
Sole Proprietor
Yes

Practice Information

Address
42 THOMAS ST
MEDFORD, MA, 021554536
Browse MA providers · Browse ZIP 02155
Phone
9784763708
Primary Specialty
Mental Health Counselor
101YM0800X
Additional Specialty
Mental Health Counselor

Other Mental Health Counselor Providers in MEDFORD, MA

Name Credential NPI
MR. JONATHAN JOSEPH DONAHUE LMHC 1033190160
CHARLES G. HOAR LMHC 1821043738
MS. KRYSTYNA KSIAZEK L.M.H.C 1659487155
MICHELLE ANNETTE MURRAY L.M.H.C 1417063967
MR. HOWARD WARREN SHERMAN L.M.H.C 1134234628
ANNETTE S MALLEN LCSW 1407947989
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.