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Individual

ZACHARY GERBER

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
LADC1

Contact information

Practice address
1 WASHINGTON ST, TAUNTON, MA 02780-3960
(508) 828-9116
Mailing address
101 BACON ST, PAWTUCKET, RI 02860-5542
(401) 722-3560
(401) 722-4120

Taxonomy

Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
14221
MA
101YA0400X
Addiction (Substance Use Disorder) Counselor
CDP00493
RI

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
GH57134
RI
Enumeration date
03/04/2011
Last updated
06/03/2019
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