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Susan Botzko

Counselor, Addiction (Substance Use Disorder) in Boston, MA. Individual provider (NPI-1).

NPI number1104665686
StatusActive
Last updated in NPPESMay 23, 2024

Details

NPI
1104665686
Entity type
Individual (NPI-1)
Name
Susan Botzko
Sex
Female
Sole proprietor
No
Enumeration date
May 23, 2024
Certification date
May 23, 2024
Last updated
May 23, 2024

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
101YA0400X Counselor, Addiction (Substance Use Disorder)––Yes

Practice location

23 Bradston Street
Boston, MA 02118

Phone 617-318-6480

Mailing address

23 Bradston Street
Boston, MA 02118

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