Individual
MS. RENEE ANN MACLEAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LADC I
Contact information
Practice address
82 PARIS ST FL 3, EAST BOSTON, MA 02128-3229
(617) 874-4160
Mailing address
82 PARIS ST FL 3, EAST BOSTON, MA 02128-3229
(617) 874-4160
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
12221
MA
Other
Enumeration date
08/16/2018
Last updated
08/16/2018
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