| Kenneth Feldstein Ladc1 - Llc | |
|
36 No. Bedford Street C22 E. Bridgewater MA 02333-1186 | |
| (616) 615-6306 | |
| (774) 221-9196 |
| Full Name | Kenneth Feldstein Ladc1 - Llc |
|---|---|
| Speciality | Counselor - Addiction (substance Use Disorder) |
| Location | 36 No. Bedford Street, E. Bridgewater, Massachusetts |
| Authorized Official Name and Position | Kenneth Feldstein (OWNER/MANAGER) |
| Authorized Official Contact | 6176156306 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Kenneth Feldstein Ladc1 - Llc 8 Bassett Brook Ln Duxbury MA 02332 Ph: (781) 248-3030 | Kenneth Feldstein Ladc1 - Llc 36 No. Bedford Street C22 E. Bridgewater MA 02333-1186 Ph: (616) 615-6306 |
| NPI Number | 1720836141 |
|---|---|
| Provider Enumeration Date | 05/09/2024 |
| Last Update Date | 05/09/2024 |
| Certification Date | 05/09/2024 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1720836141 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YA0400X | Counselor - Addiction (substance Use Disorder) | (* (Not Available)) | Primary |