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Individual

SUSAN F. FONTENEAU NICOLAN

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
M.ED., CADACII, LADC

Contact information

Practice address
497 BELLEVILLE AVE, NEW BEDFORD, MA 02746-2420
(508) 991-7487
(508) 997-2677
Mailing address
497 BELLEVILLE AVE, NEW BEDFORD, MA 02746-2420
(508) 991-7487
(508) 997-2677

Taxonomy

Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
328
MA

Other

Enumeration date
03/23/2007
Last updated
07/08/2007
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