Christian Counseling And Reconciliation Inc | |
955 Fairview St Lee MA 01238-9305 | |
(508) 695-0517 | |
(508) 695-0517 |
Full Name | Christian Counseling And Reconciliation Inc |
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Speciality | Psychologist |
Location | 955 Fairview St, Lee, Massachusetts |
Authorized Official Name and Position | James M Schwarz (LICENSED PSYCHOLOGIST PRESIDENT) |
Authorized Official Contact | 5086950517 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
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Christian Counseling And Reconciliation Inc 955 Fairview St Lee MA 01238-9305 Ph: (508) 695-0517 | Christian Counseling And Reconciliation Inc 955 Fairview St Lee MA 01238-9305 Ph: (508) 695-0517 |
NPI Number | 1538249354 |
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Provider Enumeration Date | 10/16/2006 |
Last Update Date | 05/19/2021 |
Certification Date | 05/19/2021 |
Medicare PECOS PAC ID | 3375717556 |
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Medicare Enrollment ID | O20111128000574 |
Identifier | Type | State | Issuer |
---|---|---|---|
1538249354 | NPI | - | NPPES |
W10442 | Other | MA | BLUE CROSS BLUE SHIELD |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
103TC0700X | Psychologist - Clinical | (* (Not Available)) | Primary |
Provider Name | James M Schwarz |
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Provider Type | Practitioner - Clinical Psychologist |
Provider Identifiers | NPI Number: 1245310077 PECOS PAC ID: 9335313519 Enrollment ID: I20111128000634 |
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