Kenneth J. Anthony, LMHC, LADC1
Individual provider Active NPI Addiction (Substance Use Disorder) Counselor · Bradford, MA
NPI 1073891966 · NPPES record last updated Jul 27, 2011
Key facts
- NPI
- 1073891966
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Addiction (Substance Use Disorder) Counselor 101YA0400X
- License
- S56178134 (MA)
- Practice address
- 21 Haseltine St
Bradford, MA 01835-7707 - Phone
- (978) 373-3069
- NPI assigned
- Jul 27, 2011
- Sex
- Male
- Sole proprietor
- Yes
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| S56178134 | MA | MD | Addiction (Substance Use Disorder) Counselor |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Addiction (Substance Use Disorder) Counselor | 101YA0400X | S56178134 | MA | Yes |
Addresses
Primary practice location
21 Haseltine St
Bradford, MA 01835-7707
Mailing address
21 Haseltine St
Bradford, MA 01835-7707
Phone (978) 373-3069
Other providers in Bradford, MA
- Deyasdri Alvarez
- Julie Ambrose
- Jeanne Marie Andrusin
- Karl Andre Arakelian
- Christopher Avdoian
- Kimberly Beebe
- Christina M Betances
- Jean-Marie Biebuyck
All providers in Bradford, MA · Addiction (Substance Use Disorder) Counselor in Massachusetts
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jul 27, 2011. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.