Individual
AMY LEE AVERY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
96 GREENWOOD PL., GARDNER, MA 01440-2861
(978) 798-0058
Mailing address
96 GREENWOOD PL, GARDNER, MA 01440-2861
(978) 798-0058
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
—
MA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1992252415
—
MA
Enumeration date
09/01/2016
Last updated
03/02/2023
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