person
Jon Van Rader SR., LADC
Addiction (Substance Use Disorder) Counselor in Brockton, Massachusetts
NPI 1740604008

Jon Van Rader SR. is an Addiction (Substance Use Disorder) Counselor based in Brockton, MA and is specialized in Addiction (Substance Use Disorder). Jon Van Rader SR. practices in Brockton, MA and has the professional credentials of LADC. The NPI Number for Jon Van Rader SR. is 1740604008 and holds a License No. 11760 (Massachusetts).

The current practice location address for Jon Van Rader SR. is 425 Pleasant St, Brockton, MA and can be reached out via phone at 508-272-7561 and via fax at 508-584-5402. You can also correspond with Jon Van Rader SR. through the mailing address at 425 PLEASANT ST, BROCKTON, MA - 02301-2533 (mailing address contact number: 508-272-7561).

Location: 425 Pleasant St, Brockton, MA, 02301-2533
person
Provider Profile Details
NPI Number
1740604008
Provider Name
Jon Van Rader SR.
Credential
LADC
Provider Entity Type
Individual
Gender
Male
Address
425 Pleasant St, Brockton, MA, 02301-2533
Phone Number
508-272-7561
Fax Number
508-584-5402
Provider Enumeration Date
02/06/2014
Last Update Date
03/09/2024
institution
Provider Business Practice Location Address Details
Address
425 Pleasant St
City
State
Zip
02301-2533
Phone Number
508-272-7561
Fax Number
508-584-5402
person
Provider Business Mailing Address Details
Address
425 Pleasant St
City
State
Zip
02301-2533
Phone Number
508-272-7561
Fax Number
508-584-5402
person
Provider's Taxonomy Details 1
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
Addiction (Substance Use Disorder)
Taxonomy
License No.
11760 (Massachusetts)
Definition
Definition to come...
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