Individual
DR. JAMES THADDEUS HANNON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
33 BEDFORD ST, CONCORD, MA 01742-1874
(978) 505-9038
Mailing address
33 BEDFORD ST, CONCORD, MA 01742-1874
(978) 505-9038
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
LADC-I 597
MA
Other
Enumeration date
01/22/2007
Last updated
03/20/2009
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