Individual
KATHLEEN DODGE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LADC 1, M.A.
Contact information
Practice address
22 UNION ST, NEWBURYPORT, MA 01950-3214
(508) 574-7131
Mailing address
22 UNION ST, NEWBURYPORT, MA 01950-3214
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
18541
MA
Other
Enumeration date
11/13/2019
Last updated
04/09/2026
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