Doctor Name: | ELAINE VERACRUZ |
NPI Number: | 1063783421 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | |
License Number: | |
Business Practice Address: | 140 Park St Attleboro, MA - 027033064 |
Business Phone Number: | 5082261660 |
Business Fax Number: | |
Mailing Address: | 500b Falls Blvd, 2121 QUINCY |
State: | MA |
Postal Code: | 021698168 |
Phone Number: | |
Fax Number: | |
NPI Enumeration Date: | 01/17/2012 |
NPI Last Update Date: | 01/17/2012 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 101YA0400X |
License Number: | |
Healthcare Provider Taxonomy: (Secondary) | N |
State: | |
Taxonomy Type: | Behavioral Health & Social Service Providers |
Taxonomy Classification: | Counselor |
Taxonomy Specialization: | Addiction (Substance Use Disorder) |
Taxonomy Definition: |