Individual
EUGENE DENNIS ISAAK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
1607 MAIN ST, APT A 323, SPRINGFIELD, MA 01103-1234
(508) 361-1847
Mailing address
1607 MAIN ST, APT A 323, SPRINGFIELD, MA 01103-1234
(508) 361-1847
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
—
—
Other
Enumeration date
11/10/2016
Last updated
11/10/2016
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