Individual
MR. KENNETH J. ANTHONY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
LMHC, LADC1
Contact information
Practice address
21 HASELTINE ST, BRADFORD, MA 01835-7707
(978) 373-3069
Mailing address
21 HASELTINE ST, BRADFORD, MA 01835-7707
(978) 373-3069
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
S56178134
MA
Other
Enumeration date
07/27/2011
Last updated
07/27/2011
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