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Organization
LEGACY COUNSELING, LLC
Active
Organization
LEGACY COUNSELING, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ROSIE LABRIOLE (CREDENTIALING SPECIALIST)
(401) 213-4930
Entity
Organization
Contact information
Practice address
125 CAMBRIDGEPARK DR STE 301, CAMBRIDGE, MA 02140-2392
(857) 392-2234
Mailing address
165 CAMBRIDGEPARK DR UNIT 217, CAMBRIDGE, MA 02140-2486
(857) 392-2234
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
11304
STATE OF MASSACHUSETTS LICENSE
MA
Enumeration date
11/09/2022
Last updated
11/09/2022
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