| Ctr Counseling | |
|
103 Court St Plymouth MA 02360-3860 | |
| (508) 747-9640 | |
| (508) 254-0066 |
| Full Name | Ctr Counseling |
|---|---|
| Speciality | Counselor - Mental Health |
| Location | 103 Court St, Plymouth, Massachusetts |
| Authorized Official Name and Position | Loren Malkasian (OWNER) |
| Authorized Official Contact | 5087479640 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Ctr Counseling 103 Court St Plymouth MA 02360-3860 Ph: (508) 747-9640 | Ctr Counseling 103 Court St Plymouth MA 02360-3860 Ph: (508) 747-9640 |
| NPI Number | 1538374251 |
|---|---|
| Provider Enumeration Date | 05/14/2007 |
| Last Update Date | 08/22/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1538374251 | NPI | - | NPPES |
| LM0862 | Other | MA | BLUE CROSS BLUE SHIELD |
| 000000030833 | Medicaid | MA | |
| 1649277740 | Other | MA | INDIVIDUAL NPI |
| 1890727 | Medicaid | MA |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YM0800X | Counselor - Mental Health | LMHC 4564 (Massachusetts) | Primary |
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