Individual
AMANDA ELIZABETH MCGOVERN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
70 WASHINGTON ST STE 404, SALEM, MA 01970-3520
(978) 414-5681
Mailing address
70 WASHINGTON ST STE 404, SALEM, MA 01970-3520
(978) 921-1190
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
—
—
101YM0800X
Mental Health Counselor
Primary
—
—
Other
Enumeration date
03/14/2012
Last updated
02/20/2019
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