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Edwin Matara Muma
Addiction (Substance Use Disorder) Counselor in Lowell, Massachusetts
NPI 1134863681

Edwin Matara Muma is an Addiction (Substance Use Disorder) Counselor based in Lowell, MA and is specialized in Addiction (Substance Use Disorder). Edwin Matara Muma practices in Lowell, MA. The NPI Number for Edwin Matara Muma is 1134863681 and holds a License No. (Massachusetts).

The current practice location address for Edwin Matara Muma is 101 Jackson St, Lowell, MA and can be reached out via phone at 978-459-8656.

Location: 101 Jackson St, Lowell, MA, 01852-2103
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1134863681
Provider Name
Edwin Matara Muma
Credential
Provider Entity Type
Individual
Gender
Male
Address
101 Jackson St, Lowell, MA, 01852-2103
Phone Number
978-459-8656
Fax Number
Provider Enumeration Date
04/21/2022
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
101 Jackson St
City
Lowell
State
Massachusetts
Zip
01852-2103
Phone Number
978-459-8656
Fax Number
person
Provider Business Mailing Address Details
Address
101 Jackson St
City
Lowell
State
Massachusetts
Zip
01852-2103
Phone Number
978-459-8656
Fax Number
person
Provider's Taxonomy Details 1
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
Addiction (Substance Use Disorder)
Taxonomy
101YA0400X
License No.
()
Definition
Definition to come...
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