Individual provider · Type 1 NPI

Roger Gerard Dextradeur

Addiction (Substance Use Disorder) Counselor · Fall River, MA

NPI number 1972621134 Active

Practice location

22 Front St
Fall River, MA 02721-4302

Fax (508) 674-4493

Specialties and licenses

TaxonomyCodeLicense
Addiction (Substance Use Disorder) Counselor Primary 101YA0400X116 (MA)

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

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About NPI 1972621134

Roger Gerard Dextradeur's National Provider Identifier is 1972621134, issued on Mar 27, 2007. The primary taxonomy on file is Addiction (Substance Use Disorder) Counselor (101YA0400X), and the practice location is in Fall River, MA. The record was last updated on Jul 8, 2007.