Unicorn Counseling Services Llc | |
182 Woodard Ave Brockton MA 02301-6314 | |
(508) 203-1774 | |
Not Available |
Full Name | Unicorn Counseling Services Llc |
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Speciality | Social Worker |
Location | 182 Woodard Ave, Brockton, Massachusetts |
Authorized Official Name and Position | Jessica Cunningham (OWNER) |
Authorized Official Contact | 5082031774 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
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Unicorn Counseling Services Llc 182 Woodard Ave Brockton MA 02301-6314 Ph: (508) 203-1774 | Unicorn Counseling Services Llc 182 Woodard Ave Brockton MA 02301-6314 Ph: (508) 203-1774 |
NPI Number | 1063254720 |
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Provider Enumeration Date | 06/12/2024 |
Last Update Date | 06/21/2024 |
Certification Date | 06/21/2024 |
Medicare PECOS PAC ID | 2860933538 |
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Medicare Enrollment ID | O20240920002938 |
Identifier | Type | State | Issuer |
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1063254720 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
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1041C0700X | Social Worker - Clinical | (* (Not Available)) | Primary |
Provider Name | Jessica L Cunningham |
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Provider Type | Practitioner - Clinical Social Worker |
Provider Identifiers | NPI Number: 1699328203 PECOS PAC ID: 4981013711 Enrollment ID: I20210507001983 |
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