Individual
MR. EDWARD BLEU
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
3 WINN ST, WOBURN, MA 01801-2828
(781) 718-5258
Mailing address
PO BOX 94, BURLINGTON, MA 01803-0194
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
501
MA
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
501
MA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
VC6000076656
COMMONWEALTH OF MASSACHUSETTS
MA
Enumeration date
10/19/2010
Last updated
10/19/2010
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