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Organization
JAMES P. BRESNAHAN, P.C.
Active
Organization
JAMES P. BRESNAHAN, P.C.
Active
Other names
James P. Bresnahan
Organization subpart
No
Provider details
NPI number
Authorized official
MR. JAMES PATRICK BRESNAHAN JR. M.ED. (OWNER)
(508) 752-1170
Entity
Organization
Contact information
Practice address
55 CEDAR ST, WORCESTER, MA 01609-4101
(508) 752-1170
(508) 752-1800
Mailing address
55 CEDAR ST, WORCESTER, MA 01609-4101
(508) 752-1170
(508) 752-1800
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
4524
MA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1306421
—
MA
01
—
Y10400
1308785, 2220002001
MA
Enumeration date
03/20/2008
Last updated
03/20/2008
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