Individual
PETER BEAGEN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
LADC
Contact information
Practice address
31 SHATTUCK ST, LITTLETON, MA 01460-1263
(704) 502-9451
Mailing address
31 SHATTUCK ST, LITTLETON, MA 01460-1263
(704) 502-9451
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
14420
MA
Other
Enumeration date
11/08/2016
Last updated
11/08/2016
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