Individual provider · Type 1 NPI
Gerald J. Manney, M.S., LADCI
Addiction (Substance Use Disorder) Counselor · Fitchburg, MA
NPI number
1205955762
Active
Practice location
545 Westminster St
Fitchburg, MA 01420-4727
Fax (978) 342-8495
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Addiction (Substance Use Disorder) Counselor Primary | 101YA0400X | 505 (MA) |
Addiction (Substance Use Disorder) Counselor: Definition to come...
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About NPI 1205955762
Gerald J. Manney, M.S., LADCI's National Provider Identifier is 1205955762, issued on Mar 28, 2007. The primary taxonomy on file is Addiction (Substance Use Disorder) Counselor (101YA0400X), and the practice location is in Fitchburg, MA. The record was last updated on Jul 8, 2007.