Individual
MR. JACQUES LUCIEN TRUDEL
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.A.,LADC I
Contact information
Practice address
12 QUEEN STREET, WORCESTER, MA 01610
(508) 438-5583
(508) 421-4362
Mailing address
795 ALPINE DR, SOUTHBRIDGE, MA 01550-3957
(508) 438-5583
(508) 421-4362
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
1645
MA
Other
Enumeration date
08/07/2006
Last updated
07/08/2007
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