Individual
MR. ISAAC W. RUTLEDGE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.ED.
Contact information
Practice address
73 CONGRESS ST, 105, SALEM, MA 01970-5509
(978) 740-1500
(978) 741-3104
Mailing address
73 CONGRESS ST, 105, SALEM, MA 01970-5509
(978) 740-1500
(978) 741-3104
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
101YA0400X
MA
Other
Enumeration date
04/19/2012
Last updated
04/19/2012
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