Individual
JOHN GERARD MULVIHILL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
LADC-1
Contact information
Practice address
225 MAIN ST, WENHAM, MA 01984-1459
(978) 998-0296
Mailing address
40 ARBOR ST, WENHAM, MA 01984-1440
(978) 998-0296
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
19540
MA
Other
Enumeration date
09/30/2020
Last updated
09/30/2020
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