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Organization
RETRACE COUNSELING SERVICES
Active
Organization
RETRACE COUNSELING SERVICES
Active
Organization subpart
No
Provider details
NPI number
Authorized official
KHADEEJAH HASSAN LICSW, LPN (OWNER)
(413) 446-7217
Entity
Organization
Contact information
Practice address
20 EDGEWOOD RD, PITTSFIELD, MA 01201-3306
(413) 446-7217
Mailing address
20 EDGEWOOD RD, PITTSFIELD, MA 01201-3306
(413) 446-7217
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
—
—
251E00000X
Home Health Agency
—
—
Other
Enumeration date
12/16/2021
Last updated
05/01/2024
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