Most Relevant Information
Provider Data
| NPI Number: | 1003452392 |
| Provider Name: | JOSH CORONIS |
| Entity Type: | Individual |
| Taxonomy Code: | 101Y00000X |
| Specialty: | Counselor |
| License Number: |
Most Important Dates
| Enumeration Date: | 11/21/2019 |
| Last Updated: | 11/21/2019 |
Provider Practice Location
400 WASHINGTON ST STE 106
BRAINTREE
MA
021844764
Practice Location Phone/Fax
| Phone: | 7818176675 |
| Fax: |
Provider Mailing Location
400 WASHINGTON ST STE 106
BRAINTREE
MA
021844764
Provider Mailing Phone/Fax
| Phone: | 7818176675 |
| Fax: |