Mr. Shaun D Gavin, LADC 1
Counselor, Addiction (Substance Use Disorder) in Quincy, Massachusetts
1871227843- Practice location
- 300 Congress St Ste 104, Quincy, MA 02169-0907
- Phone
- 617-774-0331
- Fax
- 617-774-0336
- Last updated
- July 14, 2022
Shaun Daniel Gavin is a Counselor, Addiction (Substance Use Disorder) based in Quincy, MA. Shaun Daniel Gavin practices in Quincy, MA and has the professional credentials of LADC 1. The NPI Number for Shaun Daniel Gavin is 1871227843 and holds a License No. 12400 (MA). The current practice location address for Shaun Daniel Gavin is 300 Congress St Ste 104, Quincy, MA 02169-0907 and can be reached out via phone at 617-774-0331 and via fax at 617-774-0336.
Provider Profile Details
- NPI Number
- 1871227843
- Provider Name
- Shaun Daniel Gavin
- Credential
- LADC 1
- Provider Entity Type
- Individual
- Gender
- Male
- Address
- 300 Congress St Ste 104, Quincy, MA 02169-0907
- Phone Number
- 617-774-0331
- Fax Number
- 617-774-0336
- Primary Taxonomy
- Counselor, Addiction (Substance Use Disorder) · 101YA0400X
- Sole Proprietor
- Yes
- Provider Enumeration Date
- July 14, 2022
- Last Update Date
- July 14, 2022
- Certification Date
- July 14, 2022
- NPI Status
- Active
Provider Business Practice Location Address Details
- Address
- 300 Congress St Ste 104
Quincy, MA 02169-0907 - City
- Quincy
- State
- Massachusetts
- Zip
- 02169-0907
- Phone Number
- 617-774-0331
- Fax Number
- 617-774-0336
Provider Business Mailing Address Details
- Address
- 23 Pierce St
Hyde Park, MA 02136-2981 - City
- Hyde Park
- State
- MA
- Zip
- 02136-2981
- Phone Number
- 857-615-9232
License Information
- License Number
- 12400
- License State
- MA
- Taxonomy
- Counselor, Addiction (Substance Use Disorder) · 101YA0400X · Primary
Legacy Identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 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 Mr. Shaun D Gavin, LADC 1?
The NPI number of Mr. Shaun D Gavin, LADC 1 is 1871227843. It was assigned on July 14, 2022 and is currently active in the NPPES registry.
What is the specialty of Mr. Shaun D Gavin, LADC 1?
Mr. Shaun D Gavin, LADC 1 is registered under the primary taxonomy Counselor, Addiction (Substance Use Disorder) (code 101YA0400X), licensed in MA under license number 12400.
Where does Mr. Shaun D Gavin, LADC 1 practice?
The practice location is 300 Congress St Ste 104, Quincy, MA 02169-0907. The office can be reached at 617-774-0331 (phone) or 617-774-0336 (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 1871227843 directly on the NPPES registry website.