Individual
EDMOND P. TALBOT
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
L.A.D.C.-1
Contact information
Practice address
161 NORTH ST, MATTAPOISETT, MA 02739-1242
(508) 542-1959
Mailing address
161 NORTH ST, MATTAPOISETT, MA 02739-1242
(508) 542-1959
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
1421
MA
Other
Enumeration date
03/29/2007
Last updated
07/08/2007
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