Doctor Name: | MARY E SUGDEN |
NPI Number: | 1316017577 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | CADACII, LADCI, CCS |
License Number: | 615 |
Business Practice Address: | 25 Marshall St Brien Center North Adams, MA - 012472451 |
Business Phone Number: | 4136644541 |
Business Fax Number: | 4136623311 |
Mailing Address: | 516 N Hoosac Rd, WILLIAMSTOWN |
State: | MA |
Postal Code: | 012672307 |
Phone Number: | 4134584080 |
Fax Number: | |
NPI Enumeration Date: | 11/08/2006 |
NPI Last Update Date: | 07/08/2007 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 101YA0400X |
License Number: | 615 |
Healthcare Provider Taxonomy: (Secondary) | N |
State: | MA |
Taxonomy Type: | Behavioral Health & Social Service Providers |
Taxonomy Classification: | Counselor |
Taxonomy Specialization: | Addiction (Substance Use Disorder) |
Taxonomy Definition: |