Augustus Reginald Pope Jr.
Counselor in Charlton, MA. Individual provider (NPI-1).
NPI number1922611367
StatusActive
Last updated in NPPESAug 26, 2020
Details
- NPI
- 1922611367
- Entity type
- Individual (NPI-1)
- Name
- Augustus Reginald Pope Jr.
- Sex
- Male
- Sole proprietor
- No
- Enumeration date
- Aug 25, 2020
- Certification date
- Aug 26, 2020
- Last updated
- Aug 26, 2020
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 101Y00000X | Counselor | 069335196 | CT | Yes |
Practice location
159 Worcester RdCharlton, MA 01507-1677
Phone 508-469-3188
Mailing address
159 Worcester RdCharlton, MA 01507-1677
Phone 508-469-3188
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