Individual
RICHARD CARPENTER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
2 ENON ST, SUITE 2, BEVERLY, MA 01915-1164
(978) 500-3907
Mailing address
2 ENON ST, SUITE 2, BEVERLY, MA 01915-1164
(978) 500-3907
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
10302
MA
Other
Enumeration date
12/03/2014
Last updated
12/03/2014
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