Healthcare Provider Details

I. General information

NPI: 1972425304
Provider Name (Legal Business Name): ADAM NUNEZ
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 07/28/2026
Last Update Date: 07/28/2026
Certification Date: 07/28/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

175 CRESCENT AVE
CHELSEA MA
02150-3009
US

IV. Provider business mailing address

37 CHARNWOOD RD
SOMERVILLE MA
02144-3120
US

V. Phone/Fax

Practice location:
  • Phone: 617-958-5589
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code101YA0400X
TaxonomyAddiction (Substance Use Disorder) Counselor
License Number
License Number State

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: