Individual provider · Type 1 NPI
John Peter Soderblom
Addiction (Substance Use Disorder) Counselor · Amesbury, MA
NPI number
1770154957
Active
Practice location
110 Haverhill Rd
Amesbury, MA 01913-2123
Mailing address
21 Hale Park Ave
Beverly, MA 01915-3814
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Addiction (Substance Use Disorder) Counselor Primary | 101YA0400X | None listed |
Addiction (Substance Use Disorder) Counselor: Definition to come...
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About NPI 1770154957
John Peter Soderblom's National Provider Identifier is 1770154957, issued on Jul 8, 2021. The primary taxonomy on file is Addiction (Substance Use Disorder) Counselor (101YA0400X), and the practice location is in Amesbury, MA. The record was last updated on Jul 8, 2021.