Individual
MR. DONALD R BOISVERT JR.
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
LADC II
Contact information
Practice address
61 INDUSTRIAL PARK RD, PLYMOUTH, MA 02360-7246
(774) 204-5358
Mailing address
6 ALLERTON ST APT 2, PLYMOUTH, MA 02360-3754
(774) 204-5358
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
21260
MA
Other
Enumeration date
01/03/2025
Last updated
01/03/2025
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