Fitzgerald Counseling Group | |
21 Father Devalles Blvd Ste 15 Fall River MA 02723-1519 | |
(978) 408-6446 | |
Not Available |
Full Name | Fitzgerald Counseling Group |
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Speciality | Counselor |
Location | 21 Father Devalles Blvd Ste 15, Fall River, Massachusetts |
Authorized Official Name and Position | Jill Fitzgerald (PRESIDENT) |
Authorized Official Contact | 9784086446 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
---|---|
Fitzgerald Counseling Group 21 Father Devalles Blvd Ste 15 Fall River MA 02723-1519 Ph: (978) 408-6446 | Fitzgerald Counseling Group 21 Father Devalles Blvd Ste 15 Fall River MA 02723-1519 Ph: (978) 408-6446 |
NPI Number | 1093297616 |
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Provider Enumeration Date | 08/30/2018 |
Last Update Date | 01/10/2024 |
Certification Date | 01/10/2024 |
Medicare PECOS PAC ID | 9436592862 |
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Medicare Enrollment ID | O20240213001140 |
Identifier | Type | State | Issuer |
---|---|---|---|
1093297616 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
101YM0800X | Counselor - Mental Health | (* (Not Available)) | Primary |
Provider Name | Jill Fitzgerald |
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Provider Type | Practitioner - Mental Health Counselor |
Provider Identifiers | NPI Number: 1588985931 PECOS PAC ID: 0345683777 Enrollment ID: I20240213001607 |
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