Individual
MR. WILLIAM WHALEN V
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
LADC II
Contact information
Practice address
17 COURT ST, BOSTON, MA 02108-2601
(617) 371-1859
Mailing address
182 POWDER HOUSE BLVD, 2, SOMERVILLE, MA 02144-1530
(617) 371-1859
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
S77198020
MA
Other
Enumeration date
05/09/2016
Last updated
05/09/2016
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