Individual
KATHLEEN M CREHAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LISCW
Contact information
Practice address
170 MORTON ST, 11 NORTH, JAMAICA PLAIN, MA 02130-3735
(857) 294-1051
Mailing address
965 MASSACHUSETTS AVE, BOSTON, MA 02118-2613
(857) 294-1051
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
208
MA
104100000X
Social Worker
Primary
1032771
MA
Other
Enumeration date
07/24/2008
Last updated
07/24/2008
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