Healthcare Provider Details

I. General information

NPI: 1316841778
Provider Name (Legal Business Name): NOUREDDINE SEGHINI CLINICIAN
Entity Type: Individual
Gender: Male
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 10/07/2026
Last Update Date: 10/07/2026
Certification Date: 10/07/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

11 CIRCLE AVE
LYNN MA
01905-3050
US

IV. Provider business mailing address

3 RIVER PL APT B213
LOWELL MA
01852-1031
US

V. Phone/Fax

Practice location:
  • Phone: 781-346-9941
  • Fax: 781-596-0113
Mailing address:
  • Phone: 857-264-9162
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

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

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: