Individual
KENNETH IAN FELDSTEIN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
LADC-1
Contact information
Practice address
36 N BEDFORD ST, E BRIDGEWATER, MA 02333-1186
(857) 302-2499
Mailing address
8 BASSETT BROOK LN, DUXBURY, MA 02332-4602
(781) 248-3030
(774) 221-9196
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
20840
MA
Other
Enumeration date
03/02/2017
Last updated
05/09/2024
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