Individual
FIDELIS MBAGARA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
22 OLD CANAL DR, LOWELL, MA 01851-2730
(978) 452-5155
(978) 970-0713
Mailing address
22 OLD CANAL DR, LOWELL, MA 01851-2730
(978) 452-5155
(978) 970-0713
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
—
—
Other
Enumeration date
12/06/2021
Last updated
12/06/2021
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