Individual
MIGUEL ANGEL NUNEZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
CADC, LADC II
Contact information
Practice address
142 CRESCENT ST, 2ND FLOOR, BROCKTON, MA 02302-3104
(508) 941-0005
(508) 427-6915
Mailing address
142 CRESCENT ST, FLOOR 2, BROCKTON, MA 02302-3104
(508) 941-0005
(508) 427-6915
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
11260
MA
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
1483 AD
MA
Other
Enumeration date
06/22/2010
Last updated
08/23/2013
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