Individual
GREGORY WITHERS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.ED, LADC 1
Contact information
Practice address
23 N MAIN ST, ATTLEBORO, MA 02703-2217
(508) 277-2461
Mailing address
22 DAGGETT RD, ATTLEBORO, MA 02703-1551
(508) 277-2461
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
18440
MA
Other
Enumeration date
03/01/2021
Last updated
03/01/2021
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