Individual
MR. JOHN THOMAS MCINNIS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
LADC LEVEL I
Contact information
Practice address
36 WOLF HILL, E SANDWICH, MA 02537
(508) 888-1279
Mailing address
36 WOLF HILL, PO BOX 500, E SANDWICH, MA 02537
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
1126
ME
Other
Enumeration date
02/04/2008
Last updated
02/04/2008
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