Individual provider · Type 1 NPI

Michelle Stayner, MA, CADC, LADC1

Addiction (Substance Use Disorder) Counselor · Boston, MA

NPI number 1477928018 Active

Practice location

90 Canal St Ste 4
Boston, MA 02114-2022

Call (508) 258-9808 Map

Mailing address

3630 Detrick Dr Unit 315
Raleigh, NC 27609-7088

Other practice locations

  • 3630 Detrick Dr Unit 315, Raleigh, NC 27609-7088 · (508) 310-3299

Specialties and licenses

TaxonomyCodeLicense
Addiction (Substance Use Disorder) Counselor Primary 101YA0400X20042 (MA)

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

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About NPI 1477928018

Michelle Stayner, MA, CADC, LADC1's National Provider Identifier is 1477928018, issued on Dec 8, 2015. The primary taxonomy on file is Addiction (Substance Use Disorder) Counselor (101YA0400X), and the practice location is in Boston, MA. The record was last updated on Mar 4, 2026.