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Individual
DERYK THOMAS MEEHAN
Active
Individual
DERYK THOMAS MEEHAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
LMHC, LADCI
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
2245
MA
101YM0800X
Mental Health Counselor
Primary
7262
MA
Other
Enumeration date
01/15/2024
Last updated
01/15/2024
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