Individual
EFRAIN TALAVERA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
321 CENTRAL ST STE 102, LOWELL, MA 01852-2692
(197) 859-8380
Mailing address
321 CENTRAL ST STE 102, LOWELL, MA 01852-2692
(978) 598-3802
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
—
—
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
1840AD
MA
Other
Enumeration date
02/02/2019
Last updated
03/25/2021
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