| |
71 Main St Ste 2-a Westminster MA 01473-1472 | |
(978) 302-5712 | |
(978) 582-1675 |
Full Name | |
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Speciality | Counselor - Mental Health |
Location | 71 Main St Ste 2-a, Westminster, Massachusetts |
Authorized Official Name and Position | Theresa E Roberts (OWNER/SOLE PROPRIETOR) |
Authorized Official Contact | 9783025712 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
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11 Trillium Ct Lunenburg MA 01462-4401 Ph: (978) 302-5712 | 71 Main St Ste 2-a Westminster MA 01473-1472 Ph: (978) 302-5712 |
NPI Number | 1255848586 |
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Provider Enumeration Date | 01/09/2018 |
Last Update Date | 01/09/2018 |
Identifier | Type | State | Issuer |
---|---|---|---|
1255848586 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
101YM0800X | Counselor - Mental Health | 6019 (Massachusetts) | Primary |
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