Individual
JAELITHE BRODEUR
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
6 REDGATE RD, DRACUT, MA 01826-1900
(978) 729-8016
Mailing address
6 REDGATE RD, DRACUT, MA 01826-1900
(978) 729-8016
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
—
—
Other
Enumeration date
02/02/2016
Last updated
02/02/2016
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