| Professional Consulting And Supervisory Services, Llc | |
|
1485 Dorchester Ave Dorchester MA 02122-1301 | |
| (617) 265-5064 | |
| (617) 265-5179 |
| Full Name | Professional Consulting And Supervisory Services, Llc |
|---|---|
| Speciality | Counselor - Mental Health |
| Location | 1485 Dorchester Ave, Dorchester, Massachusetts |
| Authorized Official Name and Position | Vanessa C Bowen-newton (OWNER) |
| Authorized Official Contact | 6172655064 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Professional Consulting And Supervisory Services, Llc 1485 Dorchester Ave Dorchester MA 02122-1301 Ph: (617) 265-5064 | Professional Consulting And Supervisory Services, Llc 1485 Dorchester Ave Dorchester MA 02122-1301 Ph: (617) 265-5064 |
| NPI Number | 1467768325 |
|---|---|
| Provider Enumeration Date | 08/28/2010 |
| Last Update Date | 08/28/2010 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1467768325 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YM0800X | Counselor - Mental Health | 5478 (Massachusetts) | Primary |
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