Ian Macdonald is a Peer Specialist based in Quincy, MA. Ian Macdonald practices in Quincy, MA. The NPI Number for Ian Macdonald is 1992493571 and holds a License No. S39089913 (Massachusetts).
The current practice location address for Ian Macdonald is 110 W Squantum St, Quincy, MA and can be reached out via phone at 617-376-2038.
Location: 110 W Squantum St, Quincy, MA, 02171-2122
Provider Profile Details
NPI Number
1992493571
Provider Name
Ian Macdonald
Credential
Provider Entity Type
Individual
Gender
Male
Address
110 W Squantum St, Quincy, MA, 02171-2122
Phone Number
617-376-2038
Fax Number
Provider Enumeration Date
05/01/2023
Last Update Date
03/10/2024
Provider Business Practice Location Address Details
Address
110 W Squantum St
City
State
Zip
02171-2122
Phone Number
617-376-2038
Fax Number
Provider Business Mailing Address Details
Address
110 W Squantum St
City
State
Zip
02171-2122
Phone Number
617-376-2038
Fax Number
Provider's Taxonomy Details 1
Type
Other Service Providers
Classification
Peer Specialist
Speciality
-
Taxonomy
License No.
S39089913 (Massachusetts)
Definition
Individuals certified to perform peer support services through a training process defined by a government agency, such as the Department of Veterans Affairs or a state mental health department/certification/licensing authority.
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