Organization · NPI-2

Cognicounseling

Clinic/Center, Adult Mental Health · Concord, MA

NPI number1821586033
StatusActive
Last updated in NPPESApr 24, 2018

Details

NPI
1821586033
Entity type
Organization (NPI-2)
Legal business name
Cognicounseling
Organization subpart
No
Enumeration date
Apr 24, 2018
Last updated
Apr 24, 2018

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
261QM0850X Clinic/Center, Adult Mental Health000009167MAYes

Practice location

747 Main St
Concord, MA 01742-3302

Phone 617-785-8192

Mailing address

60 Willow St
Acton, MA 01720-2710

Authorized official

Joe Russella Pollard
Owner
6177858192

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