| Inner Resources Counseling, Pc | |
|
74 Atlantic Ave Marblehead MA 01945-3066 | |
| (617) 501-1083 | |
| Not Available |
| Full Name | Inner Resources Counseling, Pc |
|---|---|
| Speciality | Clinic/Center |
| Location | 74 Atlantic Ave, Marblehead, Massachusetts |
| Authorized Official Name and Position | Mark Achilles Nickolas (PRESIDENT) |
| Authorized Official Contact | 6175011083 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Inner Resources Counseling, Pc 23 Brookline St Lynn MA 01902-1807 Ph: (617) 501-1083 | Inner Resources Counseling, Pc 74 Atlantic Ave Marblehead MA 01945-3066 Ph: (617) 501-1083 |
| NPI Number | 1669079729 |
|---|---|
| Provider Enumeration Date | 10/02/2020 |
| Last Update Date | 10/02/2020 |
| Certification Date | 10/02/2020 |
| Medicare PECOS PAC ID | 0840643409 |
|---|---|
| Medicare Enrollment ID | O20240130003434 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1669079729 | NPI | - | NPPES |
| Provider Name | Mark Nickolas |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1851656458 PECOS PAC ID: 1759734312 Enrollment ID: I20240130003502 |
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