Individual
STEPHANIE MOTTA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
200 TER HEUN DR, FALMOUTH, MA 02540-2525
(508) 540-6550
Mailing address
200 TER HEUN DR, FALMOUTH, MA 02540-2525
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
13541
MA
390200000X
Student in an Organized Health Care Education/Training Program
39020000X
MA
Other
Enumeration date
01/19/2015
Last updated
10/28/2016
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