| Inner Voice Outer Change | |
|
20 Kenwood Dr Rutland MA 01543-1215 | |
| (978) 822-6501 | |
| Not Available |
| Full Name | Inner Voice Outer Change |
|---|---|
| Speciality | Counselor - Mental Health |
| Location | 20 Kenwood Dr, Rutland, Massachusetts |
| Authorized Official Name and Position | Isiah Tucker (CEO) |
| Authorized Official Contact | 9788226501 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Inner Voice Outer Change 114 Water Tower Pl # 1020 Leominster MA 01453-2248 Ph: () - | Inner Voice Outer Change 20 Kenwood Dr Rutland MA 01543-1215 Ph: (978) 822-6501 |
| NPI Number | 1578269338 |
|---|---|
| Provider Enumeration Date | 02/03/2023 |
| Last Update Date | 08/29/2024 |
| Certification Date | 08/26/2024 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1578269338 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YM0800X | Counselor - Mental Health | (* (Not Available)) | Primary |
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