person
Mr. Roger Gerard Dextradeur
Addiction (Substance Use Disorder) Counselor in Fall River, Massachusetts
NPI 1972621134

Roger Gerard Dextradeur is an Addiction (Substance Use Disorder) Counselor based in Fall River, MA and is specialized in Addiction (Substance Use Disorder). Roger Gerard Dextradeur practices in Fall River, MA. The NPI Number for Roger Gerard Dextradeur is 1972621134 and holds a License No. 116 (Massachusetts).

The current practice location address for Roger Gerard Dextradeur is 22 Front St, Fall River, MA and can be reached out via phone at 508-676-1307 and via fax at 508-674-4493. You can also correspond with Roger Gerard Dextradeur through the mailing address at 22 FRONT ST, FALL RIVER, MA - 02721-4302 (mailing address contact number: 508-676-1307).

Location: 22 Front St, Fall River, MA, 02721-4302
person
Provider Profile Details
NPI Number
1972621134
Provider Name
Roger Gerard Dextradeur
Credential
Provider Entity Type
Individual
Gender
Male
Address
22 Front St, Fall River, MA, 02721-4302
Phone Number
508-676-1307
Fax Number
508-674-4493
Provider Enumeration Date
03/27/2007
Last Update Date
03/09/2024
institution
Provider Business Practice Location Address Details
Address
22 Front St
City
State
Zip
02721-4302
Phone Number
508-676-1307
Fax Number
508-674-4493
person
Provider Business Mailing Address Details
Address
22 Front St
City
State
Zip
02721-4302
Phone Number
508-676-1307
Fax Number
508-674-4493
person
Provider's Taxonomy Details 1
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
Addiction (Substance Use Disorder)
Taxonomy
License No.
116 (Massachusetts)
Definition
Definition to come...
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