Individual
MS. CHISOM IHENETU
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
11 CIRCLE AVE, LYNN, MA 01905-3050
(781) 469-1829
Mailing address
11 CIRCLE AVE, LYNN, MA 01905-3050
(781) 469-1829
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
—
MA
Other
Enumeration date
06/30/2023
Last updated
06/30/2023
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