Individual
KRISTYN KERIVAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
20 MEADOWBROOK RD, BROCKTON, MA 02301-7122
(508) 638-6000
Mailing address
15 SURFSIDE W, DUXBURY, MA 02332-5217
(339) 236-5026
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
—
—
Other
Enumeration date
10/24/2013
Last updated
10/24/2013
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