Individual
MR. STEPHEN R. MONTEMBAULT
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
LADC1
Contact information
Practice address
33 S 6TH ST, NEW BEDFORD, MA 02740-5907
(774) 202-4820
(774) 202-0825
Mailing address
72 KILBURN ST, NEW BEDFORD, MA 02740-7321
(774) 628-1001
(508) 997-0765
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
1584
MA
Other
Enumeration date
04/05/2019
Last updated
04/05/2019
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