Individual
RONALD GENE MCCONNELL JR.
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
LADC1
Contact information
Practice address
125 N ELM ST, WESTFIELD, MA 01085-3464
(413) 568-6600
Mailing address
125 N ELM ST, WESTFIELD, MA 01085-3464
(413) 568-6600
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
1573
MA
Other
Enumeration date
10/27/2016
Last updated
10/27/2016
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