Individual
MELVIN VAZQUEZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
LADC II
Contact information
Practice address
36 WASHINGTON ST, LYNN, MA 01904-3306
(781) 842-7261
Mailing address
36 WASHINGTON ST, LYNN, MA 01904-3306
(781) 842-7261
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
2116
MA
Other
Enumeration date
08/08/2024
Last updated
08/08/2024
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