Individual
DERYK THOMAS MEEHAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
LMHC, LADCI
Contact information
Practice address
223 CARROLL ST, NEW BEDFORD, MA 02740-1450
(508) 813-1305
Mailing address
223 CARROLL ST, NEW BEDFORD, MA 02740-1450
(508) 813-1305
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
2245
MA
101YM0800X
Mental Health Counselor
Primary
7262
MA
Other
Enumeration date
01/15/2024
Last updated
01/15/2024
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