Individual
MR. PETER WINSOR PRUYN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
ED.M., M.A.
Contact information
Practice address
6 TREMONT ST # 2, CAMBRIDGE, MA 02139-1223
(617) 492-1020
Mailing address
6 TREMONT ST # 2, CAMBRIDGE, MA 02139-1223
(617) 492-1020
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
—
—
Other
Enumeration date
07/18/2013
Last updated
07/18/2013
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