Individual
MARTIN DANIEL RICHARDSON III
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
152 SEAPORT LANDING, 2C, LYNN, MA 01902
(617) 982-3996
Mailing address
152 SEAPORT LANDING, 2C, LYNN, MA 01902
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
—
—
Other
Enumeration date
03/12/2025
Last updated
03/14/2025
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