Sowelu Counseling Inc | |
158a Belmont St Watertown MA 02472-2912 | |
(617) 710-0801 | |
Not Available |
Full Name | Sowelu Counseling Inc |
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Speciality | Counselor |
Location | 158a Belmont St, Watertown, Massachusetts |
Authorized Official Name and Position | Amelia Crawford (PRESIDENT) |
Authorized Official Contact | 6177100801 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
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Sowelu Counseling Inc Po Box 142 Watertown MA 02471-0142 Ph: () - | Sowelu Counseling Inc 158a Belmont St Watertown MA 02472-2912 Ph: (617) 710-0801 |
NPI Number | 1306621560 |
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Provider Enumeration Date | 08/28/2023 |
Last Update Date | 03/05/2024 |
Certification Date | 03/05/2024 |
Medicare PECOS PAC ID | 6901242825 |
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Medicare Enrollment ID | O20240313002498 |
Identifier | Type | State | Issuer |
---|---|---|---|
1306621560 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
101YM0800X | Counselor - Mental Health | (* (Not Available)) | Primary |
Provider Name | Amelia Crawford |
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Provider Type | Practitioner - Mental Health Counselor |
Provider Identifiers | NPI Number: 1962137414 PECOS PAC ID: 7810333747 Enrollment ID: I20240313002608 |
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