Individual
JEANINE L PAUL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CADC
Contact information
Practice address
44 FRONT ST STE 490, WORCESTER, MA 01608-1742
(508) 799-2934
(508) 770-1732
Mailing address
44 FRONT ST STE 490, WORCESTER, MA 01608-1742
(508) 799-2934
(508) 770-1732
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
1456AD
MA
Other
Enumeration date
09/14/2010
Last updated
09/14/2010
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