Individual provider · Type 1 NPI

Elaine Ruth Enos, LADC

Addiction (Substance Use Disorder) Counselor · Brockton, MA

NPI number 1053939496 Active

Practice location

10 Meadowbrook Rd
Brockton, MA 02301-7122

Call (508) 472-4482 Map

Fax (508) 742-4495

Specialties and licenses

TaxonomyCodeLicense
Addiction (Substance Use Disorder) Counselor Primary 101YA0400X17541 (MA)

Addiction (Substance Use Disorder) Counselor: Definition to come...

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About NPI 1053939496

Elaine Ruth Enos, LADC's National Provider Identifier is 1053939496, issued on Jul 13, 2020. The primary taxonomy on file is Addiction (Substance Use Disorder) Counselor (101YA0400X), and the practice location is in Brockton, MA. The record was last updated on Jul 13, 2020.