Individual
KATHLEEN MARIE CONNOLLY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
M.ED, CADC
Contact information
Practice address
1493 CAMBRIDGE ST, CAMBRIDGE, MA 02139-1047
(617) 661-5700
Mailing address
9 BASSETT ST, CHELSEA, MA 02150-1503
(617) 889-0017
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
—
—
Other
Enumeration date
06/10/2017
Last updated
06/10/2017
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