Individual
DANIEL JEREMIAH HALLORAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
LCSW
Contact information
Practice address
66 CANAL ST, BOSTON, MA 02114-2002
(617) 619-5940
Mailing address
33 CHESTER ST, SOMERVILLE, MA 02144-3026
(203) 640-1751
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
—
—
Other
Enumeration date
07/20/2015
Last updated
01/20/2017
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