Individual
RONALD RAYMOND
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
100 N FRONT ST, NEW BEDFORD, MA 02740-7350
(508) 994-0885
(508) 997-0765
Mailing address
158 SUTTON ST, NEW BEDFORD, MA 02746-1232
(508) 993-4061
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1311603
—
MA
Enumeration date
07/17/2007
Last updated
07/17/2007
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