Individual
MARY ELENA O'HANLEY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
15 ROCKY POND RD, PLYMOUTH, MA 02360-3603
(781) 936-5220
Mailing address
15 ROCKY POND RD, PLYMOUTH, MA 02360-3603
(781) 936-5220
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
XXD964325330
BLUE CROSS BLUE SHIELD
—
Enumeration date
09/22/2022
Last updated
09/22/2022
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