Individual
JOHN NESTOR
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
LADC 1
Contact information
Practice address
210 OLD COLONY AVE, SOUTH BOSTON, MA 02127-2413
(617) 268-5000
(617) 268-5008
Mailing address
9 SEABORN ST, DORCHESTER, MA 02124-2231
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
13180
MA
Other
Enumeration date
09/19/2023
Last updated
09/19/2023
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