Individual
EFRAIN BAEZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
L.A.D.C II
Contact information
Practice address
142 CRESCENT ST, BROCKTON, MA 02302-3104
(508) 941-0005
(508) 427-6915
Mailing address
142 CRESCENT ST, BROCKTON, MA 02302-3104
(508) 941-0005
(508) 427-6915
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
662
MA
Other
Enumeration date
05/17/2007
Last updated
07/08/2007
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