Full Life Counseling Llc | |
110 Haverhill Rd Ste 518 Amesbury MA 01913-2121 | |
(978) 476-5511 | |
Not Available |
Full Name | Full Life Counseling Llc |
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Speciality | Clinic/Center |
Location | 110 Haverhill Rd Ste 518, Amesbury, Massachusetts |
Authorized Official Name and Position | Bruce Wayne Augustonovich (OWNER/MANAGER) |
Authorized Official Contact | 9784765511 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
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Full Life Counseling Llc 110 Haverhill Road Suite 518 Amesbury MA 01913-2121 Ph: (978) 476-5511 | Full Life Counseling Llc 110 Haverhill Rd Ste 518 Amesbury MA 01913-2121 Ph: (978) 476-5511 |
NPI Number | 1356006118 |
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Provider Enumeration Date | 11/05/2021 |
Last Update Date | 11/05/2021 |
Certification Date | 11/05/2021 |
Medicare PECOS PAC ID | 1052765104 |
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Medicare Enrollment ID | O20230925000263 |
Identifier | Type | State | Issuer |
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1356006118 | NPI | - | NPPES |
Provider Name | Bruce Wayne Augustonovich |
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Provider Type | Practitioner - Clinical Social Worker |
Provider Identifiers | NPI Number: 1366971129 PECOS PAC ID: 2961856018 Enrollment ID: I20230925000317 |
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