| Seekonk Counseling And Relational Center, Llc | |
|
1563 Fall River Ave Suite 7 Seekonk MA 02771-3736 | |
| (774) 229-2170 | |
| (774) 229-2105 |
| Full Name | Seekonk Counseling And Relational Center, Llc |
|---|---|
| Speciality | Social Worker |
| Location | 1563 Fall River Ave, Seekonk, Massachusetts |
| Authorized Official Name and Position | Steven D Berube (OWNER) |
| Authorized Official Contact | 7742292170 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Seekonk Counseling And Relational Center, Llc 1563 Fall River Ave Suite 7 Seekonk MA 02771-3736 Ph: (774) 229-2170 | Seekonk Counseling And Relational Center, Llc 1563 Fall River Ave Suite 7 Seekonk MA 02771-3736 Ph: (774) 229-2170 |
| NPI Number | 1962851154 |
|---|---|
| Provider Enumeration Date | 06/08/2016 |
| Last Update Date | 06/08/2016 |
| Medicare PECOS PAC ID | 3971870502 |
|---|---|
| Medicare Enrollment ID | O20170601001411 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1962851154 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1041C0700X | Social Worker - Clinical | 110751 (Massachusetts) | Primary |
| Provider Name | Steven D Berube |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1720068521 PECOS PAC ID: 3779478243 Enrollment ID: I20061030000217 |
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