FERNANDO GONTERMAN

BOSTON, MA
NPI1467796839
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy101YA0400X Counselor Addiction (Substance Use Disorder)
Enumeration Date2012-11-24
Last Update Date2012-11-24
Business Address
FERNANDO GONTERMAN
205 PORTLAND ST
BOSTON, MA 02114-1721
Phone number: 617-523-2214
Mailing Address
FERNANDO GONTERMAN
3131 MOONLIGHT RIDGE ARC
LAS CRUCES, NM 88011-1639
Phone number: 706-312-9499
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