Individual
MRS. PATRICIA ELLEN WALSH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LADC
Contact information
Practice address
11 CIRCLE AVENUE, LYNN, MA 01905
(603) 447-4877
Mailing address
11 CIRCLE AVENUE, LYNN, MA 01905
(603) 447-4877
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
0609
NH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0609
LADC
NH
Enumeration date
05/04/2007
Last updated
06/30/2020
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