| Imago Psychodynamic Counseling, Llc | |
|
183 Kent St Apt 2 Brookline MA 02446-5432 | |
| (786) 402-7396 | |
| Not Available |
| Full Name | Imago Psychodynamic Counseling, Llc |
|---|---|
| Speciality | Counselor - Mental Health |
| Location | 183 Kent St Apt 2, Brookline, Massachusetts |
| Authorized Official Name and Position | Daniel Moreno (MEMBER) |
| Authorized Official Contact | 7864027396 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Imago Psychodynamic Counseling, Llc 183 Kent St Apt 2 Brookline MA 02446-5432 Ph: (786) 402-7396 | Imago Psychodynamic Counseling, Llc 183 Kent St Apt 2 Brookline MA 02446-5432 Ph: (786) 402-7396 |
| NPI Number | 1003525486 |
|---|---|
| Provider Enumeration Date | 11/15/2022 |
| Last Update Date | 11/15/2022 |
| Certification Date | 11/15/2022 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1003525486 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YM0800X | Counselor - Mental Health | (* (Not Available)) | Primary |
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