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Organization
SOUTH SHORE WELLNESS & RENEWAL INC.
Active
Organization
SOUTH SHORE WELLNESS & RENEWAL INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. JASON D SMITH (CEO)
(781) 812-2701
Entity
Organization
Contact information
Practice address
851 MAIN ST, SUITE 16, WEYMOUTH, MA 02190-1612
(781) 812-2701
(781) 803-2712
Mailing address
851 MAIN ST, SUITE 16, WEYMOUTH, MA 02190-1612
(781) 812-2701
(857) 202-5206
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
—
—
101YM0800X
Mental Health Counselor
Primary
—
—
103T00000X
Psychologist
—
—
103TA0400X
Addiction (Substance Use Disorder) Psychologist
—
—
104100000X
Social Worker
—
—
106H00000X
Marriage & Family Therapist
—
—
Other
Enumeration date
11/12/2013
Last updated
04/08/2014
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