Individual
NICHOLAS A ANDERSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
8 KILBURN ST, NEW BEDFORD, MA 02740-7321
(508) 979-1122
Mailing address
8 KILBURN ST, NEW BEDFORD, MA 02740-7321
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
—
—
Other
Enumeration date
12/04/2019
Last updated
12/04/2019
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