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Individual

MICHAEL DAVID MEYERS

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
LMHC

Contact information

Practice address
9 NOTRE DAME ST, BOSTON, MA 02119-1230
(857) 540-9339
Mailing address
12 ARCOLA ST, BOSTON, MA 02130-1494

Taxonomy

Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
11574
MA
101YP2500X
Professional Counselor
Primary
11574
MA

Other

Enumeration date
12/08/2019
Last updated
12/08/2019
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