Pavan S. Brar
Counselor, Mental Health in Cambridge, MA. Individual provider (NPI-1).
NPI number1003662859
StatusActive
Last updated in NPPESApr 24, 2024
Details
- NPI
- 1003662859
- Entity type
- Individual (NPI-1)
- Name
- Mr. Pavan S. Brar
- Sex
- Male
- Sole proprietor
- No
- Enumeration date
- Apr 24, 2024
- Certification date
- Apr 10, 2024
- Last updated
- Apr 24, 2024
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 101YM0800X | Counselor, Mental Health | – | – | Yes |
Practice location
1493 Cambridge St Rm 239Cambridge, MA 02139-1047
Phone 617-575-5399
Mailing address
1493 Cambridge St Rm 239Cambridge, MA 02139-1099
Phone 617-575-5399
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