Individual
REGINA KELLEHER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
48 WESTOVER ST, WEST ROXBURY, MA 02132-1342
(617) 791-7760
Mailing address
48 WESTOVER ST, WEST ROXBURY, MA 02132-1342
(617) 791-7760
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
423
MA
Other
Enumeration date
11/16/2015
Last updated
11/16/2015
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