Peter Richard Mckenna, LADC-1

NPI #1306240221 in Fitchburg, Massachusetts

Provider Information

NPI Number
1306240221
Entity Type
Individual
Name
Peter Richard Mckenna, LADC-1
Gender
Not Specified
Sole Proprietor
No
Primary Specialty
Counselor - Addiction (Substance Use Disorder)
Credential
LADC-1
Enumeration Date
Oct 21, 2014
Last Updated
Dec 1, 2015

Practice Location

Address
21 CULLEY ST
ZIP Code
01420-3509
Phone
(978) 790-8236

Specialties & Taxonomy Codes

Specialty
Counselor - Addiction (Substance Use Disorder)Addiction (Substance Use Disorder)

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