MR. JACQUES LUCIEN TRUDEL M.A.,LADC I
NPI 1801805643
Counselor - Addiction (Substance Use Disorder) in Worcester, MA
Active since August 07, 2006
About Mr. Jacques Lucien Trudel M.a.,ladc I NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
MR. JACQUES LUCIEN TRUDEL M.A.,LADC I (NPI 1801805643) is an individual addiction (substance use disorder) provider in Worcester, Massachusetts, licensed in Massachusetts (1645) and active in the NPI registry since August 2006.
NPPES Registry Identity
NPI1801805643
Entity TypeIndividualMale
Primary Taxonomy101YA0400X
Provider Legal NameMR. JACQUES LUCIEN TRUDELCredential: M.A.,LADC I
Location Address12 QUEEN STREETWorcester, MA 01610
Mailing Address795 Alpine DrSouthbridge, MA 01550-3957 · (508) 438-5583 · Fax (508) 421-4362
Phone(508) 438-5583
Fax(508) 421-4362
Sole ProprietorNo
Enumeration DateAugust 7, 2006
Last NPPES UpdateJuly 8, 2007
✔ NPI 1801805643 is a valid, active identifier and passes the ISO check-digit test.
Specialties & Licenses
★ Primary SpecialtyCounselor · Addiction (Substance Use Disorder)Behavioral Health & Social Service Providers
Taxonomy Code101YA0400X
License✔ Licensed in MA · 1645
12 QUEEN STREET, Worcester, MA 01610
Other Providers at the Same Location
The following 2 providers are registered at the same or a nearby location.
Clinic/Center (Mental Health (Including Community Mental Health Center))
12 QUEEN STREET
WORCESTER, MA 01610
WORCESTER, MA 01610
Clinic/Center (Developmental Disabilities)
12 QUEEN STREET
WORCESTER, MA 01610
WORCESTER, MA 01610
Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1801805643, enumerated as an "individual" on August 07, 2006.
The provider is located at 12 QUEEN STREET WORCESTER, MA 01610 and the phone number is (508) 438-5583.
Counselor with taxonomy code 101YA0400X and a focus in Addiction (Substance Use Disorder).
