Individual provider · Type 1 NPI
Widner Alexandre, LADC I
Addiction (Substance Use Disorder) Counselor · Boston, MA
NPI number
1962278960
Active
Practice location
263 Eustis St
Boston, MA 02119-2826
Mailing address
133 Addison St
Brockton, MA 02301-1403
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Addiction (Substance Use Disorder) Counselor Primary | 101YA0400X | 23160 (MA) |
Addiction (Substance Use Disorder) Counselor: Definition to come...
3 other providers at this address
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About NPI 1962278960
Widner Alexandre, LADC I's National Provider Identifier is 1962278960, issued on Nov 30, 2023. 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 Nov 30, 2023.