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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