PETER RICHARD MCKENNA

FITCHBURG, MA
NPI1306240221
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy101YA0400X Counselor Addiction (Substance Use Disorder)
(Licence: MA  1379)
Enumeration Date2014-10-21
Last Update Date2015-12-01
Business Address
PETER RICHARD MCKENNA LADC-1
21 CULLEY ST
FITCHBURG, MA 01420-3509
Phone number: 978-790-8236
Mailing Address
PETER RICHARD MCKENNA LADC-1
21 CULLEY ST
FITCHBURG, MA 01420-3509
Phone number: 978-790-8236
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