Individual provider · Type 1 NPI
Jacques Lucien Trudel, M.A., LADC I
Addiction (Substance Use Disorder) Counselor · Worcester, MA
NPI number
1801805643
Active
Practice location
12 Queen Street
Worcester, MA 01610
Fax (508) 421-4362
Mailing address
795 Alpine Dr
Southbridge, MA 01550-3957
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Addiction (Substance Use Disorder) Counselor Primary | 101YA0400X | 1645 (MA) |
Addiction (Substance Use Disorder) Counselor: Definition to come...
2 other providers at this address
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About NPI 1801805643
Jacques Lucien Trudel, M.A., LADC I's National Provider Identifier is 1801805643, issued on Aug 7, 2006. The primary taxonomy on file is Addiction (Substance Use Disorder) Counselor (101YA0400X), and the practice location is in Worcester, MA. The record was last updated on Jul 8, 2007.