Active NPIIndividual providerSole proprietor

Judith M Mcdonough, LADC 1

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

NPI Number1982989638
Practice location
158 Pond St, Randolph, MA 02368-2621
Fax
—
Last updated
October 13, 2011

Judith M Mcdonough is a Counselor, Addiction (Substance Use Disorder) based in Randolph, MA. Judith M Mcdonough practices in Randolph, MA and has the professional credentials of LADC 1. The NPI Number for Judith M Mcdonough is 1982989638 and holds a License No. 178 (MA). The current practice location address for Judith M Mcdonough is 158 Pond St, Randolph, MA 02368-2621 and can be reached out via phone at 781-963-8251.

Provider Profile Details

NPI Number
1982989638
Provider Name
Judith M Mcdonough
Credential
LADC 1
Provider Entity Type
Individual
Gender
Female
Address
158 Pond St, Randolph, MA 02368-2621
Phone Number
781-963-8251
Primary Taxonomy
Counselor, Addiction (Substance Use Disorder) · 101YA0400X
Sole Proprietor
Yes
Provider Enumeration Date
October 13, 2011
Last Update Date
October 13, 2011
NPI Status
Active

Provider Business Practice Location Address Details

Address
158 Pond St
Randolph, MA 02368-2621
Zip
02368-2621
Phone Number
781-963-8251
Randolph, MA 02368Get directions →

Provider Business Mailing Address Details

Address
158 Pond St
Randolph, MA 02368-2621
City
Randolph
State
MA
Zip
02368-2621
Phone Number
781-963-8251

License Information

License Number
178
License State
MA
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 Judith M Mcdonough, LADC 1?

The NPI number of Judith M Mcdonough, LADC 1 is 1982989638. It was assigned on October 13, 2011 and is currently active in the NPPES registry.

What is the specialty of Judith M Mcdonough, LADC 1?

Judith M Mcdonough, LADC 1 is registered under the primary taxonomy Counselor, Addiction (Substance Use Disorder) (code 101YA0400X), licensed in MA under license number 178.

Where does Judith M Mcdonough, LADC 1 practice?

The practice location is 158 Pond St, Randolph, MA 02368-2621. The office can be reached at 781-963-8251 (phone).

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 1982989638 directly on the NPPES registry website.

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