Individual
COLIN MICHAEL EDWARDS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
14 FORDHAM RD, ALLSTON, MA 02134-3000
(774) 786-0801
Mailing address
172 POND ST, WINCHESTER, MA 01890-1724
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
—
—
103K00000X
Behavior Analyst
—
—
Other
Enumeration date
01/27/2025
Last updated
01/27/2025
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