Active NPIIndividual providerSole proprietor

Richard L Thibault Jr.

Counselor, Addiction (Substance Use Disorder) in Lynn, Massachusetts

NPI Number1750938940
Practice location
11 Circle Ave, Lynn, MA 01905-3050
Fax
781-596-0113
Last updated
August 22, 2019

Richard Louis Thibault is a Counselor, Addiction (Substance Use Disorder) based in Lynn, MA. Richard Louis Thibault practices in Lynn, MA. The NPI Number for Richard Louis Thibault is 1750938940. The current practice location address for Richard Louis Thibault is 11 Circle Ave, Lynn, MA 01905-3050 and can be reached out via phone at 781-595-2413 and via fax at 781-596-0113.

Provider Profile Details

NPI Number
1750938940
Provider Name
Richard Louis Thibault
Provider Entity Type
Individual
Gender
Male
Address
11 Circle Ave, Lynn, MA 01905-3050
Phone Number
781-595-2413
Fax Number
781-596-0113
Primary Taxonomy
Counselor, Addiction (Substance Use Disorder) · 101YA0400X
Sole Proprietor
Yes
Provider Enumeration Date
August 22, 2019
Last Update Date
August 22, 2019
NPI Status
Active

Provider Business Practice Location Address Details

Address
11 Circle Ave
Lynn, MA 01905-3050
City
Lynn
Zip
01905-3050
Phone Number
781-595-2413
Fax Number
781-596-0113
Lynn, MA 01905Get directions →

Provider Business Mailing Address Details

Address
15 Winter St Apt 9
Salem, MA 01970-3865
City
Salem
State
MA
Zip
01970-3865
Phone Number
978-786-2788

License Information

Taxonomy
Counselor, Addiction (Substance Use Disorder) · 101YA0400X · Primary

Legacy Identifiers

IdentifierTypeStateIssuer
No legacy identifiers (Medicaid, Medicare or plan IDs) are on file for this provider.

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Frequently Asked Questions

What is the NPI number of Richard L Thibault Jr.?

The NPI number of Richard L Thibault Jr. is 1750938940. It was assigned on August 22, 2019 and is currently active in the NPPES registry.

What is the specialty of Richard L Thibault Jr.?

Richard L Thibault Jr. is registered under the primary taxonomy Counselor, Addiction (Substance Use Disorder) (code 101YA0400X).

Where does Richard L Thibault Jr. practice?

The practice location is 11 Circle Ave, Lynn, MA 01905-3050. The office can be reached at 781-595-2413 (phone) or 781-596-0113 (fax).

What is an NPI number?

A National Provider Identifier (NPI) is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). It is used in HIPAA standard transactions.

How do I verify this NPI record?

This record is sourced from the public NPPES NPI Registry maintained by CMS. You can confirm it by searching NPI 1750938940 directly on the NPPES registry website.

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