| Southeast Adolescent And Adult Counseling | |
|
455 W Center St Suite 3 West Bridgewater MA 02379-1637 | |
| (508) 954-4431 | |
| Not Available |
| Full Name | Southeast Adolescent And Adult Counseling |
|---|---|
| Speciality | Social Worker - Clinical |
| Location | 455 W Center St, West Bridgewater, Massachusetts |
| Authorized Official Name and Position | Marylou Shearing (SOLE MEMBER) |
| Authorized Official Contact | 5089544431 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Southeast Adolescent And Adult Counseling 455 W Center St Suite 3 West Bridgewater MA 02379-1637 Ph: (508) 954-4431 | Southeast Adolescent And Adult Counseling 455 W Center St Suite 3 West Bridgewater MA 02379-1637 Ph: (508) 954-4431 |
| NPI Number | 1780830448 |
|---|---|
| Provider Enumeration Date | 08/13/2008 |
| Last Update Date | 08/13/2008 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1780830448 | NPI | - | NPPES |
| 1005325 | Other | FALLON COMMUNITY HEALTH PLAN | |
| 109603 | Other | BLUE CROSS/ BLUE SHIELD HMO | |
| 2078990 | Other | CIGNA | |
| P04466 | Other | BLUE CROSS/BLUE SHIELD | |
| 1005325 | Other | NEIGHBORHOOD HEALTH PLAN | |
| 007377 | Other | HARVARD PILGRIM HEALTHCARE | |
| 453450 | Other | TUFTS |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1041C0700X | Social Worker - Clinical | 105297 (Massachusetts) | Primary |
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