Kenneth J. Anthony, LMHC, LADC1
Counselor, Addiction (Substance Use Disorder) in Bradford, MA. Individual provider (NPI-1).
NPI number1073891966
StatusActive
Last updated in NPPESJul 27, 2011
Details
- NPI
- 1073891966
- Entity type
- Individual (NPI-1)
- Name
- Mr. Kenneth J. Anthony
- Credential
- LMHC, LADC1
- Sex
- Male
- Sole proprietor
- Yes
- Enumeration date
- Jul 27, 2011
- Last updated
- Jul 27, 2011
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 101YA0400X | Counselor, Addiction (Substance Use Disorder) | S56178134 | MA | Yes |
Practice location
21 Haseltine StBradford, MA 01835-7707
Phone 978-373-3069
Mailing address
21 Haseltine StBradford, MA 01835-7707
Phone 978-373-3069
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