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Organization
STREETLIGHT COUNSELING
Active
Organization
STREETLIGHT COUNSELING
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ELIAS MEDINA (OWNER)
(508) 315-2593
Entity
Organization
Contact information
Practice address
43 HOWARD TER, CHERRY VALLEY, MA 01611-3267
(508) 315-2493
Mailing address
43 HOWARD TER, CHERRY VALLEY, MA 01611-3267
(508) 315-2593
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
—
—
Other
Enumeration date
09/24/2025
Last updated
10/21/2025
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