Individual
NICOLAS MALOOF
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
BA
Contact information
Practice address
175 CRESCENT AVE, CHELSEA, MA 02150-3009
(617) 889-8779
Mailing address
3 WILKINSON DR, NEWBURYPORT, MA 01950-4515
(978) 417-6520
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
—
—
Other
Enumeration date
11/17/2020
Last updated
11/17/2020
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