Individual
BARRY RICHARD DEST.CROIX
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
87 ALTHEA RD, NORTH FALMOUTH, MA 02556-3116
(508) 524-0130
Mailing address
87 ALTHEA RD, NORTH FALMOUTH, MA 02556-3116
(508) 524-0130
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
1112
MA
101YM0800X
Mental Health Counselor
Primary
1349
MA
Other
Enumeration date
04/15/2010
Last updated
04/15/2010
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