Michael Gene Krupa
Counselor in Boston, MA. Individual provider (NPI-1).
NPI number1164062519
StatusActive
Last updated in NPPESJan 14, 2020
Details
- NPI
- 1164062519
- Entity type
- Individual (NPI-1)
- Name
- Michael Gene Krupa
- Sex
- Male
- Sole proprietor
- No
- Enumeration date
- Jan 14, 2020
- Certification date
- Jan 14, 2020
- Last updated
- Jan 14, 2020
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 101Y00000X | Counselor | – | – | Yes |
Practice location
23 Bradston StBoston, MA 02118-2703
Phone 617-318-6480
Mailing address
33 Bakersfield St Apt 3Dorchester, MA 02125-1929
Phone 857-244-9302
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