Individual
JOHN G AGBOOLA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
100 N FRONT ST, NEW BEDFORD, MA 02740-7350
(508) 994-0885
(508) 994-0409
Mailing address
76 CARRIAGE DR, NEW BEDFORD, MA 02740-1872
(508) 993-6255
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
—
—
Other
Enumeration date
01/21/2008
Last updated
01/21/2008
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