Individual
MR. GREGORY JOHN PENNLINE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
173 CHELSEA ST, EVERETT, MA 02149-4632
(781) 388-6231
Mailing address
173 CHELSEA ST, EVERETT, MA 02149-4632
(781) 388-6231
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
—
—
Other
Enumeration date
02/02/2012
Last updated
07/08/2013
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