Individual
MR. STEVEN MANFRED DELBANCO
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.ED., LADC-I
Contact information
Practice address
431 RIVER ST STE 1, WALTHAM, MA 02453-5483
(781) 966-5643
Mailing address
431 RIVER ST STE 1, WALTHAM, MA 02453-5483
(781) 966-5643
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
1044
MA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
042630450
AGENCY TAX EXEMPT NUMBER
MA
Enumeration date
02/06/2007
Last updated
05/23/2024
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