Organization · Type 2 NPI
Teens Against Gang Violence
Addiction (Substance Use Disorder) Counselor · Boston, MA
NPI number
1649516220
Active
Practice location
735 Morrissey Blvd
Boston, MA 02122-3406
Fax (617) 282-9659
Mailing address
2 Moody St
Boston, MA 02124-3507
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Addiction (Substance Use Disorder) Counselor Primary | 101YA0400X | 40 (MA) |
| Mental Health Counselor | 101YM0800X | 265 (MA) |
| Marriage & Family Therapist | 106H00000X | 149 (MA) |
Addiction (Substance Use Disorder) Counselor: Definition to come...
Other addiction (substance use disorder) counselor providers in Boston
About NPI 1649516220
Teens Against Gang Violence's National Provider Identifier is 1649516220, issued on Dec 30, 2012. 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 Feb 16, 2015.