Individual
ALLISON MARTIN AMATO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MED LADC I
Contact information
Practice address
182 BABCOCK ST, QUINCY, MA 02169-3051
(508) 868-4997
Mailing address
182 BABCOCK ST, QUINCY, MA 02169-3051
(508) 868-4997
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
2232
MA
Other
Enumeration date
03/16/2011
Last updated
03/16/2011
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