Individual
HAROLD DUFOUR
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MED., LADC 1
Contact information
Practice address
4 ATHERSTONE ST, BOSTON, MA 02124-3723
(339) 235-2405
Mailing address
4 ATHERSTONE ST, BOSTON, MA 02124-3723
(339) 235-2405
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
1051
MA
Other
Enumeration date
01/13/2016
Last updated
01/13/2016
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