Individual provider · Type 1 NPI

Edward Fitzgerald

Addiction (Substance Use Disorder) Counselor · Brockton, MA

NPI number 1063978807 Active

Practice location

10 Meadowbrook Rd
Brockton, MA 02301-7122

Call (774) 213-8448 Map

Mailing address

72 Kilburn St
New Bedford, MA 02740-7321

Specialties and licenses

TaxonomyCodeLicense
Addiction (Substance Use Disorder) Counselor Primary 101YA0400XNone listed

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

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About NPI 1063978807

Edward Fitzgerald's National Provider Identifier is 1063978807, issued on Feb 18, 2019. 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 Feb 18, 2019.