Individual
RAUL SAENZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
365 EAST ST UNIT C2, TEWKSBURY, MA 01876-1950
(617) 445-1123
(857) 547-1186
Mailing address
365 EAST ST UNIT C2, TEWKSBURY, MA 01876-1950
(617) 445-1123
(857) 547-1186
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
12201
TX
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
12780
MA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1104369727
—
TX
Enumeration date
11/30/2016
Last updated
03/17/2018
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