| Stoughton Counseling Inc | |
|
1044 Central St Ste 202 Stoughton MA 02072-4423 | |
| (781) 975-2185 | |
| (781) 341-4489 |
| Full Name | Stoughton Counseling Inc |
|---|---|
| Speciality | Counselor |
| Location | 1044 Central St Ste 202, Stoughton, Massachusetts |
| Authorized Official Name and Position | Peter Costa (PRESIDENT) |
| Authorized Official Contact | 6172902795 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Stoughton Counseling Inc 1044 Central St Ste 202 Stoughton MA 02072-4423 Ph: (781) 975-2185 | Stoughton Counseling Inc 1044 Central St Ste 202 Stoughton MA 02072-4423 Ph: (781) 975-2185 |
| NPI Number | 1912464603 |
|---|---|
| Provider Enumeration Date | 02/28/2019 |
| Last Update Date | 08/15/2024 |
| Certification Date | 08/15/2024 |
| Medicare PECOS PAC ID | 4981937745 |
|---|---|
| Medicare Enrollment ID | O20190610002293 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1912464603 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YM0800X | Counselor - Mental Health | (* (Not Available)) | Primary |
| Provider Name | Christina Bragan |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1790274496 PECOS PAC ID: 3274514864 Enrollment ID: I20040528000609 |
| Provider Name | Monique Tasker |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1114209905 PECOS PAC ID: 5496059479 Enrollment ID: I20160211001935 |
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