| Kettle Cove Counseling, Llc | |
|
350 Summer St Manchester MA 01944-1541 | |
| (617) 209-9330 | |
| Not Available |
| Full Name | Kettle Cove Counseling, Llc |
|---|---|
| Speciality | Clinic/center - Mental Health (including Community Mental Health Center) |
| Location | 350 Summer St, Manchester, Massachusetts |
| Authorized Official Name and Position | Patrick Willwerth (OWENER/COUNSELOR) |
| Authorized Official Contact | 6172099330 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Kettle Cove Counseling, Llc 350 Summer St Manchester MA 01944-1541 Ph: (617) 209-9330 | Kettle Cove Counseling, Llc 350 Summer St Manchester MA 01944-1541 Ph: (617) 209-9330 |
| NPI Number | 1467228817 |
|---|---|
| Provider Enumeration Date | 11/28/2023 |
| Last Update Date | 11/28/2023 |
| Certification Date | 11/28/2023 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1467228817 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QM0801X | Clinic/center - Mental Health (including Community Mental Health Center) | (* (Not Available)) | Primary |