person
Ms. Eileen Ryan O'doherty, MA,LADCI
Addiction (Substance Use Disorder) Counselor in South Yarmouth, Massachusetts
NPI 1598988586

Eileen Ryan O'doherty is an Addiction (Substance Use Disorder) Counselor based in South Yarmouth, MA and is specialized in Addiction (Substance Use Disorder). Eileen Ryan O'doherty practices in South Yarmouth, MA and has the professional credentials of MA,LADCI. The NPI Number for Eileen Ryan O'doherty is 1598988586 and holds a License No. (Massachusetts).

The current practice location address for Eileen Ryan O'doherty is 20 Forsythe Ave, South Yarmouth, MA and can be reached out via phone at 508-398-5155 and via fax at 508-398-3478. You can also correspond with Eileen Ryan O'doherty through the mailing address at 20 FORSYTHE AVE, SOUTH YARMOUTH, MA - 02664-1814 (mailing address contact number: 508-398-5155).

Location: 20 Forsythe Ave, South Yarmouth, MA, 02664-1814
person
Provider Profile Details
NPI Number
1598988586
Provider Name
Eileen Ryan O'doherty
Credential
MA,LADCI
Provider Entity Type
Individual
Gender
Female
Address
20 Forsythe Ave, South Yarmouth, MA, 02664-1814
Phone Number
508-398-5155
Fax Number
508-398-3478
Provider Enumeration Date
04/10/2007
Last Update Date
03/09/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
1383 01 MA LADC I
institution
Provider Business Practice Location Address Details
Address
20 Forsythe Ave
City
State
Zip
02664-1814
Phone Number
508-398-5155
Fax Number
508-398-3478
person
Provider Business Mailing Address Details
Address
20 Forsythe Ave
City
State
Zip
02664-1814
Phone Number
508-398-5155
Fax Number
508-398-3478
person
Provider's Taxonomy Details 1
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
Addiction (Substance Use Disorder)
Taxonomy
License No.
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Definition
Definition to come...
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