Individual
LUCILLE H WHITEHOUSE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LADC-I, CADC, LCSW
Contact information
Practice address
301 BROADWAY, CHELSEA, MA 02150-2807
(617) 912-7900
Mailing address
408 MERIDIAN ST, EAST BOSTON, MA 02128-1314
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
20660
MA
104100000X
Social Worker
000227240
MA
Other
Enumeration date
09/16/2021
Last updated
01/03/2024
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