Individual
MR. PATRICK FIACHNA CHACE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
LADC II
Contact information
Practice address
604 WASHINGTON ST, QUINCY, MA 02169-7211
(866) 682-9355
Mailing address
604 WASHINGTON ST, QUINCY, MA 02169-7211
(866) 682-9355
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
22862
MA
Other
Enumeration date
11/13/2024
Last updated
11/13/2024
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