Individual
FERNANDO GONTERMAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
205 PORTLAND ST, BOSTON, MA 02114-1721
(617) 523-2214
Mailing address
3131 MOONLIGHT RIDGE ARC, LAS CRUCES, NM 88011-1639
(706) 312-9499
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
—
—
Other
Enumeration date
11/24/2012
Last updated
11/24/2012
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