Provider Demographics
NPI:1285265272
Name:DOS SANTOS OLIVEIRA, HELDER (BA)
Entity type:Individual
Prefix:
First Name:HELDER
Middle Name:
Last Name:DOS SANTOS OLIVEIRA
Suffix:
Gender:M
Credentials:BA
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:5 HIGH ST STE 101
Mailing Address - Street 2:
Mailing Address - City:MEDFORD
Mailing Address - State:MA
Mailing Address - Zip Code:02155-3800
Mailing Address - Country:US
Mailing Address - Phone:781-423-5209
Mailing Address - Fax:
Practice Address - Street 1:5 HIGH ST STE 101
Practice Address - Street 2:
Practice Address - City:MEDFORD
Practice Address - State:MA
Practice Address - Zip Code:02155-3800
Practice Address - Country:US
Practice Address - Phone:781-423-5209
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2020-01-29
Last Update Date:2020-01-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101Y00000XBehavioral Health & Social Service ProvidersCounselor