Individual
MR. JUDSON H. PHELPS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
LADC 1
Contact information
Practice address
200 TER HEUN DR, FALMOUTH, MA 02540-2525
(508) 540-6550
(508) 540-7480
Mailing address
53 GINGERBREAD LN, YARMOUTH PORT, MA 02675-1110
(508) 362-5921
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
523
MA
Other
Enumeration date
02/26/2007
Last updated
07/08/2007
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