| Blue Square Counseling And Wellness Center, Pllc | |
|
294 Concord Rd Billerica MA 01821-3482 | |
| (978) 330-5105 | |
| Not Available |
| Full Name | Blue Square Counseling And Wellness Center, Pllc |
|---|---|
| Speciality | Psychologist |
| Location | 294 Concord Rd, Billerica, Massachusetts |
| Authorized Official Name and Position | Gina Aguayo (OWNER) |
| Authorized Official Contact | 9783305105 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Blue Square Counseling And Wellness Center, Pllc 294 Concord Rd Billerica MA 01821-3482 Ph: () - | Blue Square Counseling And Wellness Center, Pllc 294 Concord Rd Billerica MA 01821-3482 Ph: (978) 330-5105 |
| NPI Number | 1013331388 |
|---|---|
| Provider Enumeration Date | 02/07/2014 |
| Last Update Date | 11/29/2023 |
| Certification Date | 11/29/2023 |
| Medicare PECOS PAC ID | 2163892399 |
|---|---|
| Medicare Enrollment ID | O20230105000424 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1013331388 | NPI | - | NPPES |
| Provider Name | Gina Aguayo |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1821199225 PECOS PAC ID: 8527161033 Enrollment ID: I20070321000042 |
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