Matthew Richard Dussault

NPI 1679720908 - Counselor - 101YM0800X

NPI Details
NPI 1679720908
Gender Male
Enumeration Date 08/19/2008
Last Updated 08/19/2008
Entity Type Individual
Active Over 8 years ago
Practice Location
1563 N MAIN ST STE 208
FALL RIVER MA, 02720-2983, US
Phone (508) 324-1060
Business Location
FAIRHAVEN MA, 02719-5406, US
Phone (508) 994-9206
Taxonomy Code 101YM0800X
License State
License Number
Remove 1679720908 NPI Number

According to our database, Mr. Matthew Richard Dussault NPI is 1679720908, taxonomy code is 101YM0800X Matthew Richard Dussault physically located at 1563 N Main St Ste 208, Fall River MA, 02720-2983. NPI Number Matthew Richard Dussault has the Individual type.

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1679720908 NPI number is provided on an as is basis without warranty of any kind. 1679720908 is maintained by the National Plan & Provider Enumeration System. The contents of Matthew Richard Dussault are for informational purposes only.