National Provider Identifier
Shaun Daniel Gavin, LADC 1
Shaun Daniel Gavin, LADC 1 is listed in the NPPES registry with a primary specialty of Addiction (Substance Use Disorder) Counselor in Quincy, MA and a listed phone number of (617) 774-0331.
Source: public NPPES record, last updated July 14, 2022. This profile is informational and is not medical advice, a quality rating, or a provider recommendation.
Profile Overview
- NPI
- 1871227843
- Provider Type
- Individual
- Primary Specialty
- Addiction (Substance Use Disorder) Counselor
- Enumeration Date
- July 14, 2022
- Last Updated
- July 14, 2022
Practice Location
- 300 Congress St Ste 104
- Quincy, MA 02169-0907
Phone: (617) 774-0331
Mailing Address
- 23 Pierce St
- Hyde Park, MA 02136-2981
Specialties
- Addiction (Substance Use Disorder) Counselor (101YA0400X)
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Biography
Shaun Gavin, LADC I, is a Quincy, Massachusetts-based alcohol and drug counselor. Publicly available profile information is limited, but his professional record identifies him with the LADC I credential in Massachusetts, reflecting a practice focus in alcohol and drug counseling.
Full Record
- NPI
- 1871227843
- Entity Type
- Individual
- Last Name
- Gavin
- First Name
- Shaun
- Middle Name
- Daniel
- Name Prefix
- Mr.
- Credential
- LADC 1
- Mailing Street Address
- 23 Pierce St
- Mailing City
- Hyde Park
- Mailing State
- MA
- Mailing ZIP Code
- 02136-2981
- Mailing Country
- US
- Mailing Phone
- (857) 615-9232
- Practice Street Address
- 300 Congress St Ste 104
- Practice City
- Quincy
- Practice State
- MA
- Practice ZIP Code
- 02169-0907
- Practice Country
- US
- Practice Phone
- (617) 774-0331
- Practice Fax
- (617) 774-0336
- Enumeration Date
- July 14, 2022
- Last Updated
- July 14, 2022
- Sex
- Male
- Sole Proprietor
- Yes
- Certification Date
- July 14, 2022
- Taxonomies
- Addiction (Substance Use Disorder) Counselor (101YA0400X)