Individual
FREDERICK J KERLE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
LADC 1
Contact information
Practice address
105 PARK ST, HYANNIS, MA 02601-5205
(508) 771-9599
(508) 771-1986
Mailing address
199 SUMMER ST, DUXBURY, MA 02332-4256
(781) 585-4845
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
226
MA
Other
Enumeration date
03/01/2007
Last updated
07/08/2007
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