Individual
AMANDA LUSSIER LIONAS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
68 FRANKLIN ST, FRAMINGHAM, MA 01702-6671
(508) 875-5801
(508) 872-8934
Mailing address
69 FRANKLIN STREET, FRAMINGHAM, MA 01701
(508) 875-5801
(508) 872-8934
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1306421
—
MA
05
—
1308785
—
MA
01
—
22220002001
BLUE CROSS BLUE SHEILD
MA
01
—
M18684
BLUE CROSS BLUE SHEILD
MA
Enumeration date
10/04/2012
Last updated
10/04/2012
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