Individual
PETER M MACNEILL
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MA, LADC1
Contact information
Practice address
11 UNION ST, LAWRENCE, MA 01840-1815
(978) 685-1337
(978) 681-1281
Mailing address
11 UNION ST, LAWRENCE, MA 01840-1815
(978) 685-1337
(978) 681-1281
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
2243
MA
Other
Enumeration date
04/30/2013
Last updated
04/30/2013
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