Individual
ALFREDO ISMAEL TEJADA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
23 BERKELEY ST APT 3, LAWRENCE, MA 01841-1908
(978) 908-8818
Mailing address
15 UNION ST STE 200, LAWRENCE, MA 01840-1823
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
—
MA
103T00000X
Psychologist
—
MA
Other
Enumeration date
06/04/2019
Last updated
06/04/2019
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