Individual
MR. JOHN D LEAVITT
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MSW
Contact information
Practice address
210 OLD COLONY AVE, SOUTH BOSTON, MA 02127-2413
(617) 268-5000
(617) 268-5008
Mailing address
210 OLD COLONY AVE, SOUTH BOSTON, MA 02127-2413
(617) 268-5000
(617) 268-5008
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
1028970
MA
Other
Enumeration date
11/14/2006
Last updated
01/23/2023
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