Individual
MANUEL J BOTELHO JR.
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
LADC II #17920
Contact information
Practice address
PO BOX 2003, TEATICKET, MA 02536-2003
(508) 274-0703
Mailing address
PO BOX 2003, TEATICKET, MA 02536-2003
(508) 274-0703
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
17920
MA
Other
Enumeration date
10/10/2024
Last updated
11/07/2024
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