Individual
JOHN MCGAHAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
43 OLD COLONY AVE, QUINCY, MA 02170-2606
(857) 496-7341
Mailing address
675 E 4TH ST, BOSTON, MA 02127-3063
(857) 496-7341
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
321
MA
Other
Enumeration date
11/24/2017
Last updated
03/17/2018
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