| Avalon Psychotherapy | |
|
124 Harvard St Brookline MA 02446-6478 | |
| (857) 600-1962 | |
| (857) 576-0079 |
| Full Name | Avalon Psychotherapy |
|---|---|
| Speciality | Social Worker - Clinical |
| Location | 124 Harvard St, Brookline, Massachusetts |
| Authorized Official Name and Position | Angela Kathman (OWNER) |
| Authorized Official Contact | 8576001962 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Avalon Psychotherapy 258 Harvard St # 471 Brookline MA 02446-2904 Ph: (857) 600-1962 | Avalon Psychotherapy 124 Harvard St Brookline MA 02446-6478 Ph: (857) 600-1962 |
| NPI Number | 1720857451 |
|---|---|
| Provider Enumeration Date | 12/21/2023 |
| Last Update Date | 12/21/2023 |
| Certification Date | 12/21/2023 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1720857451 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1041C0700X | Social Worker - Clinical | (* (Not Available)) | Primary |
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