Individual
PATRICK WILLWERTH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.ED., LADC-I
Contact information
Practice address
8 THORNDIKE ST, BEVERLY, MA 01915-5858
(617) 209-9330
Mailing address
8 THORNDIKE ST, BEVERLY, MA 01915-5858
(617) 209-9330
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
22500
MA
101YM0800X
Mental Health Counselor
—
—
Other
Enumeration date
08/30/2022
Last updated
12/16/2024
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